Inspection on 15/08/05 for 13a Green Lane

This inspection was carried out on 15th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

13a Green Lane 04/12/06

13a Green Lane 10/03/06

13a Green Lane 14/10/04

13a Green Lane 24/04/04

13a Green Lane 29/06/03

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 13a Green Lane 13a Green Lane Leigh Wigan WN7 2TL Lead Inspector Julie Conrad Unannounced 15 August 2005 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 13a Green Lane Address 13a Green Lane Leigh Wigan WN7 2TL 01942 673511 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Wigan Council Jennifer Mills CRH - Care Home Only 5 Category(ies) of LD - Learning Disability registration, with number of places 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered for a maximum of 5 service users to include; up to 5 service users in the category of LD (Learning disability). The service should employ a suitably qualified and experienced manager who is registered with the CSCI. The registered manager must spend a proportion of their working hours each week on site to have a clear present in the home, to oversee the running of the home, and supervision of care staff on the premises, to include weekend and times when the service users are presence in the home. This must be reflected on records maintained in the premises. Staffing levels are to be calculated in accordance with the Residential Forum Staffing Guidance (Older People and Younger Adults) by 1 April 2004. Date of last inspection 14 October 2004 Brief Description of the Service: 13a Green Lane is a Local Authortity care home, providing a short term break service for five residents, over the age of eighteen, who have a learning disability. The home is situated in Leigh close to local shops and ammenities. The home is set back from the road and is reached via a long drive way, there is parking to the front of the home and gardens to the side and rear of the building. There are five resident bedrooms, kitchen, lounge, lounge/dining room, shower room and two bathrooms with toliet facilities. 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of 13a Green Lane took place on 15th August 2005, from 2.30pm until 4.15pm. The inspector spoke with three members of staff about the service and the residents. None of the five residents were able to talk due to their disability. Some residents understood what was said to them and their answers could be seen, by watching their facial expressions and body movements. The records held at the home were looked at, including resident’s files and staff records. The home was looked at throughout, to check everything was acceptable. What the service does well: What has improved since the last inspection? 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 6 There were no requirements at the last inspection. The staff team continues to provide a good service and residents appear happy and content. 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. 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 4 A ‘Welcome to Green Lane’ service user guide is provided for prospective residents, which gives information on the services provided at the home, this enables them to make an informed decision on whether or not to have the short term break service. EVIDENCE: A service user guide is available to all prospective residents and their families. The guide uses pictures to explain the services provided at the home. A copy of the guide is available at the home. The resident’s needs and aspirations are assessed before admission to the home, the assessments are reviewed and any changes are recorded. The assessments look at the individual’s interests, such as music, going out, shopping trips. The assessments seen at the inspection said that some residents enjoyed regular shopping trips to the Trafford Centre, lunch at the pub, watching football at the pub and visiting Old Trafford football ground. Prospective residents initially visit the home with their family and social worker, after which, they are able to visit as many times as they like before deciding to have an overnight stay. Two residents have been visiting for tea for almost a year and have only had one over night stay. These prospective residents have also been referred to training and development, where they can develop their skills on a one to one basis as well as visit Green Lane. 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 9 A resident who was admitted to Green Lane for short-term care, has now been there for two years. The manager discussed the situation with the inspector. It is important that appropriate accommodation is found for the resident as soon as possible. 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9 The homes assessment, care planning and risk assessment systems are completed with the resident and their family where possible and are reviewed regularly, to ensure each individual’s needs and personal goals are met. EVIDENCE: The inspector read three residents files, these included care plans and risk assessments. A social worker does an annual review of the residents needs, whilst the manager at the home carry’s out reviews on a six monthly basis or when needed, to ensure all needs continue to be met. There is a personal planning assessment, which demonstrate one resident enjoys going to the hairdressers and shopping trips and there is a timetable of daily events for each resident. The manager and inspector spoke to a resident about her interests, she was able to acknowledge her satisfaction by moving her body forward. Residents are supported to take risks as part of an independent lifestyle. The manager said that one resident insists on going out alone and with the agreement of the resident and his family, the risk is managed by the resident telling staff were he is going and what time he will be back. 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 16, 17 Social activities are met at the day centre or with staff in the local community, enriching resident’s lives. The resident’s facial expressions indicated that the meals at the home are good, catering for individual preferences and special dietary needs. EVIDENCE: Most residents go to the day centre during the week. In the evenings or at weekends, staff will take residents out shopping or to the local pub for lunch or to watch sport on Sky TV. One resident likes to go to the Trafford Centre on a one to one basis with a member of staff, this resident also receives funding from an organisation to go swimming with them in Southport once a week. This summer, some residents have been with staff on day trips to Southport and Blackpool. Staff were seen to respect each residents wishes. On returning to the home, one resident carried out her usual routine of going to the bathroom and changing into nightwear, the resident joined the inspector and manager and 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 12 had two cups of tea and a chocolate roll. Although the resident has no verbal communication, she was able to make herself understood. The other residents did not have verbal communication skills either, but they also were able to make themselves understood, by body language and facial expressions. Staff know what each resident will want during their stay. One of the residents always wants a yoghurt with bananas, staff ensure these are ready for him. Meals and special diets are planned around which residents are staying at the home and each resident’s likes and dislikes are recorded on their file. On the day of the inspection, there was one resident who was vegetarian and one resident on a gluten free diet. The contents of the fridge demonstrated that the resident’s favourite foods had been purchased. Staff shop at Asda once a week and buy fresh fruit and vegetables. Fresh fruit is placed in a bowl in the lounge. Some resident’s help in the kitchen and all residents are encouraged to clear away their cups after use. 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 Ongoing assessment and review of need, ensures personal support is given in a way preferred by the resident. The home has a policy and procedure on medication, thereby ensuring that residents receive their medication as prescribed. EVIDENCE: The care plan states how the resident prefers to be assisted with personal support, this information is gathered from the resident where possible, from their family and from ongoing assessment and review of need. Staff assisting residents will know if the resident is not happy with the assistance given, by the individual’s behaviour. Although many residents have no verbal communication, they make their preferences known by becoming restless if their needs are not met as they want them to be. The resident who likes to put on her night wear at 4.30pm, will become very restless if she is encouraged not to do so until later. 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 14 The manager sometimes works the morning or evening shift and is able to observe staff providing personal care. The home has a policy and procedure on medication, no residents at present wanted to administer their own medication, however, if they wanted to, the manager would explain to them that a risk assessment must first be carried out. 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 The home operates Wigan Social Services Departments Protection Of Vulnerable Adults policy and procedure, which ensures residents are protected. EVIDENCE: All staff receive training in the protection of vulnerable adults as part of their induction training. A refresher-training course on the protection of vulnerable adults is to take place at the home, for all the Green Lane staff team at the end of August. The complaints file was seen, there have been no complaints since March 2004. The home has received many compliments from the families of people who use the short-term break service, these include letters, cards and flowers, praising the care provided by staff. 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 30 The home offers residents a relaxed, homely, safe environment in which to live, that is nicely decorated and furnished. EVIDENCE: The premise was checked, no hazards were found in the home. The home is nicely decorated and carpeted throughout, bedrooms have plenty of space, with nice furniture, carpets and curtains, all bedrooms have a portable TV. The lounge and dining areas are homely, with pictures on the wall. The wallpaper in the front lounge and the corridor is scuffed, although it did not look too unsightly. The home is due to be redecorated throughout very soon. There is a bathroom upstairs and one downstairs, which has a bath chair and other adaptations, for people with physical disabilities. There is also a shower room for residents who prefer a shower, these facilities have sufficient space and are clean and tidy. The home is clean, tidy and hygienic throughout. 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35, 36 The resident’s are supported by a competent staff team, which understand the needs of the residents. The resident’s benefit from well supported and supervised staff throughout the day and night. EVIDENCE: On the day of the inspection, the staff on duty were seen to manage all the residents needs in a competent and informed way. The manager and a member of staff discussed with the inspector, the different needs of the resident group. All staff receive induction and foundation training, the inspector chatted with a temporary member of staff, who has been working with the short term break service for five months and joined the Green Lane team three days ago. The member of staff said she was enjoying the work very much and is applying for a permanent post. Staff said they were well supported by the manager and each other, the support is given informally on a day to day basis and during formal supervision sessions. Records of staff supervision and team meetings were seen, a member of staff said she was benefiting from supervision and used the meetings to discuss residents, practice and training needs. 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 18 Two staff have achieved NVQ level 2 in care, three staff are doing the course and three staff are waiting to start the course. The manager needs to ensure that fifty per cent of staff are NVQ level 2 qualified. Later this month, staff are to receive training specific to managing two residents with high dependency needs, one of the residents was present at the inspection. There are always two staff on duty at all times, on the day of the inspection, there was three staff on duty to meet the needs of the two particular residents with high levels of need. There is always two staff on night duty. 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 42 The manager is supported well by a competent staff team and provides suitable leadership and management of the home. Staff spoken to demonstrated an awareness of their roles and responsibilities, which ensures the residents benefit from living in a well run home. EVIDENCE: The manager has achieved NVQ level 4 in management and care and the Registered Managers Award. The manager has many years experience of working with people who have a learning disability and has managed Green Lane since it opened. Residents can be confident that their views underpin the development of the service provided at the home. Their views are sought in different ways, there is the Carers coffee morning meetings, which are held about four times a year. A senior manager from Wigan Social Services Departments learning disability section attends the meetings as well as the staff who provide the care. The meetings involve carers in developing the service. 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 20 Residents meetings take place, however, the manager said that only the more able residents benefit from these. There is a learning disability committee, which includes many people who have a learning disability who use the services. The committee focus on developing certain aspects of the service. Resident’s benefit from a well run home, that is safe and well maintained, the building has had a risk assessment. Staff are aware of the health and safety procedures and all staff know it is their duty to report any faults or hazards found in the home. All staff receive training in health and safety. 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 2 x 3 x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 3 Standard No 11 12 13 14 15 16 17 x x 3 x x 3 3 Standard No 31 32 33 34 35 36 Score x 2 x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 13a Green Lane Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 22 No Are there any outstanding requirements from the last inspection? 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. 1. Standard 2 Regulation 14 Timescale for action Appropriate accommodation February must be found for a resident who 2006 has been living at the home for two years Requirement 2. 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. Refer to Standard 32 Good Practice Recommendations Fifty per cent of staff must be qualified to NVQ level 2 by 2005 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 23 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG National Enquiry Line: 0845 015 0120 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 13a Green Lane F56 F06 S35964 13a Green Lane V238573 150805 Stage4.doc Version 1.40 Page 24 - 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. 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