Inspection on 16/05/05 for Greatwood House

This inspection was carried out on 16th May 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

Greatwood House 21/11/06

Greatwood House 24/10/05

Greatwood House 05/10/04

Greatwood House 14/04/04

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

CARE HOMES FOR OLDER PEOPLE Greatwood House Mancunian Road Denton Tameside M34 1GX Lead Inspector Janet Ranson Announced 16 & 17 May 2005 th th 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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery 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. Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Greatwood House Address Mancunian Road, Denton, Tameside, M34 1GX 0161 336 5324 0161 368 0058 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) Tameside Care Limited Enterprise House, Grange Road South, Hyde, Cheshire, SK14 5NY Mrs Deborah Thompson CRH Care Home 60 Category(ies) of DE(E) Dementia - over 65 Number 60 registration, with number OP Old age Number 60 of places PD(E) Physical disability - over 65 Number 60 Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered for a maximum of 60 service users to include: up to 60 5 November 2004 service users in the category of OP (Old age not falling into any other category). up to 60 service users in the category of PD(E) (Physical disability over 65 years of age). up to 60 service users in the category of DE(E) (Dementia over 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 18th October 2004 Brief Description of the Service: Greatwood House is a purpose built, single storey building that has been adapted and extended. The home is registered with the Commission for Social Care Inspection to provide personal care for sixty older people some of whom may have a physical disability or dementia. All the accommodation is provided in single rooms thirty seven of which have been extended to include en-suite facilities. The home is divided into small units each one having its own small kitchen, dining area and lounge. Originally commissioned by the local authority, Greatwood House is now owned and managed by Tameside Care Limited. The home is located within a large estate, close to community resourses and transport networks. Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Greatwood House provides personal care for up to sixty people over sixty five years of age. It is owned by Tameside Care Limited, a not for profit organisation. The manager is registered with the Commission for Social Care Inspection and was present throughout the inspection. In addition to teams of carers the organisation employs domestic, catering and maintenance personnel. The home has recently undergone a total refurbishment. A large extension consisting of bedrooms lounge and dining rooms, bathrooms and toilets and a conservatory have also been completed to a very high standard. The grounds have been improved and made fully accessible. Individual case files and care plans of five residents were examined as part of the inspection process. They concerned people who had lived at the home for a long time, were newly admitted and whose needs were changing. Wherever possible the five residents were invited to talk to the inspector of their experiences and expectations. The inspector also observed staff interaction and practice. Two visitors assisted the inspector with their views of the service and five staff discussed their roles and responsibilities. The inspector also took part in a reminiscence activity. This was an announced inspection carried out over one and a half days, a total of eleven and a half hours. What the service does well: Greatwood House provides a good standard of care from a well-trained and committed staff team. The environment is well presented and the standard of accommodation meets fully with the resident’s expectations. The activities programme is imaginative and stimulating. Recording systems and documentation protect the residents from potential abuse. Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? 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. Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Systems are in place to ensure the residents needs can be fully identified and met by the home. EVIDENCE: Care needs assessments were contained within the five care files examined as part of the inspection. The home also has a process of assessing potential resident’s needs carried out by a senior member of staff. By completing such an assessment the home can ascertain individual needs and ensure they can be met. Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 8 9 10 The resident’s personal care health and welfare needs are fully documented and reviewed. The resident’s identified health needs are fully met by the various healthcare professionals. The residents are enabled to self medicate where ever possible. The residents are treated with respect and their privacy is maintained at all times. EVIDENCE: Six care plans were examined as part of the inspection process. They clearly set out the resident’s individual care needs. The care plans document the action to be taken by the carers to ensure all aspects of health, personal and social care are met and reviewed. One resident who spoke with the inspector and two visitors were aware of the care planning process and had also been involved. Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 10 Where identified the resident’s health is monitored and addressed by the appropriate health care professionals. The district nurses are involved on a regular basis as are the chiropodist, audiologist and optician. A resident confirmed the district nurse and physiotherapist regularly attend to her health needs. Specialist equipment to prevent pressure sores was in evidence. An external trainer provides regular sessions of armchair aerobics to maintain or improve the resident’s mobility. Five medication administration records were examined and found to be completed in the approved manner. All senior staff responsible for the administration of medication have received the appropriate training. Records are retained to show changes to medications. There is a policy and procedure in place to enable the residents to self medicate where this is considered to be appropriate. The inspector observed the staff respecting the resident’s privacy by knocking and waiting before entering the room. At interview the staff clearly demonstrated their understanding of privacy and dignity. A resident was taking a rest on her bed with the door open during the afternoon of the inspection. The resident explained this was in order that she could remain in contact with everyone. A resident commented that the en-suite facilities had greatly enhanced her quality of life. Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 13 14 15 The choices offered to the residents meet with their requirements and needs and enable them to exercise day-to-day control over their lives. Visitors are made to feel welcome and remain in contact with their relatives care. The content of the daily menu failed to provide the residents with any variety or choice at meal times. EVIDENCE: The individual care plans documented the resident’s previous lifestyle and social history. At interview the carers clearly demonstrated their knowledge of the residents previous experiences and fully understood the importance of this in providing the care package. One resident who spoke with the inspector explained that coming into the home had fully met with her expectations she particularly enjoyed the company of other residents. The inspector took part in a reminiscence group provided by the activities organiser. Fourteen residents contributed to the session and there were various artefacts made available resulting in shared memories and Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 12 experiences. It was apparent that the residents benefited from the activity that was stimulating and encouraged the residents to interact with each other. The residents who spoke with the inspector were aware of the activities programme that was displayed in the home. Two visitors spoke with the inspector they confirmed their satisfaction with the home and stated they were made to feel welcome whenever they visited. A member of staff also stated she always offered a drink with light refreshments to visitors. Nine comment cards received from the relatives confirmed they were welcomed in the home at any time. Systems are in place to enable the resident’s to manage their own affairs with the assistance of families where required. A number of negative comments received concerned the food provided at the home. The various comments both written (in the comment cards) and given verbally to the inspector concerned the choice and variety of the meals. The menu provided at the home was examined it did not show the alternatives to the main choice, and was not immediately available to the residents. A carer said that she explained the menu each day and provided details of the residents choice for each meal to the main kitchen. On both days of the inspection the alternative to the main meal was corned beef. The minutes from the residents meeting carried out on April 28th 2005 supported the resident’s concerns regarding menus. The residents also commented on the timing of the breakfast. Staff confirmed that those residents who need greater assistance could be waiting for sometime before receiving their breakfast. The inspector was advised that the home had issued a questionnaire to residents to ascertain their views on the quality of food and identify what actions residents felt were necessary to resolve their concerns about the food. Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 18 The resident’s and their visitors were confident any complaints would be treated with respect and acted upon. Systems and procedures in the home ensure the resident’s are protected from abuse. EVIDENCE: A written complaints procedure was available to the residents and their visitors. Of the ten comment cards returned to the inspector 6 residents wrote that they knew who to complain to. Five relatives noted they had complained about the service. One resident explained to the inspector she had had occasion to complain and was satisfied with the outcome. According to the information provided to the CSCI, prior to the inspection the staff were about to receive training in the protection of vulnerable adults. All the senior staff have had the training and procedures are in place in the event of allegations. Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 26 Greatwood House provides a warm, clean, safe and well-maintained environment with a high standard of furnishings and fittings. EVIDENCE: The residents who spoke with the inspector voiced their satisfaction with their accommodation. The home has recently undergone a total refurbishment. The quality of the work and finishes is to a high standard. The secure garden in the middle of the home has also been revamped to provide a level area with raised beds and a water feature. Further work to other gardens was being carried out during the inspection. The grounds are fully accessible to the residents. Greatwood House is maintained in a clean and hygienic state there were no offensive smells noted. Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 29 30 The residents receive care from well-trained staff who respond in a respectful manner. The organisations recruitment policy and procedure provides protection to the residents from potential abuse. EVIDENCE: A written comment from a visitor stated, “There are sufficient numbers of staff but sometimes staff are off sick or on holiday and there is no one to take their place (at short notice). Holidays should be planned so other can cover.” The rota provided as part of the pre inspection questionnaire documented adequate numbers of staff at any one time. From observation the staff were attentive and responded to the residents in a respectful manner. Recruitment is carried out according to the organisations policies. The staff who spoke with the inspector confirmed they had provided referees and had CRB clearance. The organisation continues to support carers to complete the National Vocational Qualification at level two. According to the pre inspection Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 16 questionnaire the number of carers with a level two or above currently stands at 70 . The carers confirmed the employment of a laundry person had enabled them to spend more time with the residents on the units. Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 35 38 The use of questionnaires and residents meetings gives the residents an opportunity to influence the running of the home. Systems are in place to protect the resident’s financial interests and to ensure their health and safety at all times. EVIDENCE: Residents meetings are carried out at regular intervals. A resident is responsible for the agenda and minutes are taken and made available. The organisation also ascertains the resident’s views by questionnaire. When questioned two staff informed the inspector that they felt fulfilled and supported in their work. The residents are enabled to maintain their own financial affairs. Two visitors stated they were responsible for all financial dealings and had a power of Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 18 attorney. Where the home handles money on behalf of the residents the recording systems were found to be satisfactory. The staff confirmed they had received all the mandatory training concerning the health and safety of the residents. The organisation also has a system to ensure the training is current. The maintenance of all appliances and equipment is carried out under contract. The health, safety and welfare is further ensured by the systems in place to report accident and incidents. Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 20 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 15 Regulation 16(2)(1) Requirement The registered person must in consultation with residents revise the daily menue to ensure residents are offered variety and choice at each meal. The registered person must provide a revised copy of the menu to the Commission for Social Care Inspection. Timescale for action 30/6/05 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 Good Practice Recommendations Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton under Lyne OL7 0QD 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 Greatwood House F54 F04 s5569 Greatwood Hse v221338 160505 Stage 4.doc Version 1.30 Page 22 - 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!