Inspection on 01/02/06 for Green Acres Nursing Home

This inspection was carried out on 1st February 2006.

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

Green Acres Nursing Home 02/12/08

Green Acres Nursing Home 14/12/06

Green Acres Nursing Home 04/05/05

Green Acres Nursing Home 01/02/05

Green Acres Nursing Home 14/07/04

Green Acres Nursing Home 06/02/04

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

CARE HOMES FOR OLDER PEOPLE Green Acres Nursing Home Rigton Drive Burmantofts Leeds Yorkshire LS9 7PY Lead Inspector Sean Cassidy Unannounced Inspection 1st February 2006 09:30 X10015.doc Version 1.40 Page 1 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 Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 2 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. Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Green Acres Nursing Home Address Rigton Drive Burmantofts Leeds Yorkshire LS9 7PY 0113 2483334 0113 2406278 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Life Style Care Plc Mrs Lynn Hart Care Home 62 Category(ies) of Old age, not falling within any other category registration, with number (62) of places Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th May 2005 Brief Description of the Service: Greenacres is a purpose built home located about a mile and a half from Leeds City centre. Regular bus services pass by the home and there are shops, pubs and other amenities close by. The home provides care for up to fifty service users requiring personal and nursing care. Five of those places are for intermediate care. The building meets national minimum standards for the environment. Bedrooms are generously sized and exceed space requirements. All bedrooms are designed for single occupancy with en-suite facilities. The home is on two levels, the first floor being serviced by stairs and a shaft lift. Operationally, each floor functions as a working and living unit. Both units provide lounge and dining areas. Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out by one inspector and lasted a full day. The purpose of the inspection was to make sure the home was operating and being managed to a satisfactory standard. The inspector spoke to several service users, relatives and members of staff. A number of documents were examined which included care plans, policies, procedures and other records. What the service does well: What has improved since the last inspection? The home has opened a new extension that has provided seven extra bedrooms. The extension has been decorated and furnished to a high standard. Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 6 The residents are now provided with a copy of the Service User Guide and other helpful information in their bedrooms. Evidence was found to show residents and their representatives are being involved with the development of their care plans and risk assessments. More consultation is taking place with residents with regards to the leisure and social activities they want to be involved in. 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. Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 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 the following standard(s): 1,3,6. The home makes the necessary information available to all prospective residents so that they can make an informed choice as to whether they want to move into the home or not. The home ensures all prospective residents are assessed prior to moving in. Those residents receiving Intermediate Care are confident that their needs are being met. EVIDENCE: All resident rooms have now got copies of the service user guide in place. Two relatives spoken to said that they received information when they visited the home for a look around and they found it helpful when making a decision whether to choose the home for their relative. One resident said that she visited the home first and had a look around before she made her choice of moving in or not. Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 9 The care files examined showed that all new residents that have moved into the home were assessed prior to moving in. The most recent admissions to the home were within the categories, which the home is registered to admit. Those residents that are admitted for intermediate care receive a structured care package, which involves the care staff liaising closely with the intermediate care team. Staff receive training in areas relating to rehabilitation and residents receiving the service felt the staff were competent in their roles Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 7,8,9,10 The Care planning system adopted by the home helps to ensure the care needs of the residents’ are appropriately met. Residents are protected by the medication systems adopted by the home and they are enabled to self medicate following a suitable risk assessment. Residents and relatives spoke highly of the care staff working in the home and they felt they respected their privacy and dignity at all times. EVIDENCE: At least six care files were inspected on this visit. Each showed that individual residents had been assessed and their care needs were identified. Care plans were written for each individual need and were regularly reviewed. The care plans contained a good standard of detail to enable the carer meet the care needs of the individual. Carers spoken to said they were able to identify the care needs of the individuals and stated they were involved with the care planning process. They were able to record care provision in the daily records. Those residents identified as being at risk of developing pressure sores, having continence needs and nutritional needs were appropriately risk assessed and a Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 11 care plan was developed to ensure their needs in these areas were met. The care files showed evidence that the residents have access to other health professionals when that service is needed. The medication charts reviewed showed evidence of a good standard of administration. No unexplained gaps were sees. The home has a policy in place for the administration of medication that includes a section on enabling residents to self medicate if they wish. This policy is used to assist residents whenever possible. Residents and relatives spoke very highly of the staff group and felt that they respected their privacy and dignity at all times. Residents are assessed to have keys to their bedrooms if they so wished. Staff were seen to be respectful and helpful at all times during the inspection. Residents said they always knocked on their doors before they entered and this was evidenced over the course of the day. Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 14,15 Residents were happy with the way the home assisted them to exercise their choice and control over their own lives. Residents feel that the home offers them a wholesome and nutritious diet. EVIDENCE: Residents and relatives were very happy with the way the enabled them to maintain contact with each other. There was a significant number of visitors to the home on the day and all those spoken to said they were able to visit whenever they wanted. Residents spoken to said that the home helped them bring in any possessions they wanted, as long as they fitted into the room. This was evidence in the majority of rooms entered over the course of the day. Visitors and residents are informed about how to contact advocates if they need one. This can be found in the entrance hall and also within the Service Users Guide which can be found in each bedroom. Residents spoken to were happy with the meals and the choice of meals provided by the home. Regular drinks and snacks were provided over the course of the day. The inspector was informed that this happened on a daily basis. The food appeared wholesome and nutritious. Those residents that Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 13 required assistance received it from a member of staff. This was an unhurried process and good communication was observed between resident and carer. Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 16,18 Residents are provided with information regarding complaints. Residents are appropriately protected by the Adult protection systems adopted by the home. EVIDENCE: Residents and relatives spoken to felt informed about how to make a complaint if they wished to do so. They also expressed confidence that the home would properly investigate their complaint if they made one. The complaint procedure is well highlighted throughout the care home. Staff are trained in Adult protection and those spoken to on the day expressed a knowledge of this area. The home has a good adult protection procedure in place and they have shown that they do follow this procedure when the need arises. Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 15 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 the following standard(s): 19,26 Residents and relatives spoken to expressed satisfaction with the facilities offered by the home. The home offers a pleasant, clean and hygienic environment. EVIDENCE: The home is purpose built, is located close to local amenities and a regular bus service passes the home. Lounge areas are large but furnishings have been thoughtfully placed to establish smaller sitting areas. The building appeared well maintained, was tidy, comfortable and free from unpleasant odours. The manager informed the Commission that routine maintenance and decoration is an on going process. There is wheelchair access to a patio area with an enclosed garden suitable for those service users who may wander. Access to the building is via an intercom system, on entering there is a reception desk where visitors are welcomed and where access to the administrator and an Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 16 appointment to see the manager may be made. The home have just recently completed an extension which has been decorated to a high standard. A number of chairs in the residents’ dining room are in need of upholstering or replacement as they were very badly stained. There also appeared to an insufficient number available to ensure al spaces at the table would be taken during meal times. The home has systems in place to ensure the standard of cleanliness is maintained at all times. It was clean and tidy on the day of inspection. The Laundry facilities are managed to a good standard and residents and relatives expressed satisfaction with the quality of the laundry service. Soiled clothing is washed following the correct guidelines and there are policies and procedures in place to assist staff with Infection control issues. Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 17 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The residents and relatives were confident in the staffing levels provided by the home. The recruitment procedure adopted by the home helps protect the resident group. EVIDENCE: The staffing levels were examined and matched the previously agreed levels. The manager and staff felt that the numbers of qualified and unqualified staff presently working in the home made it easier to ensure the residents care needs would be met. The manager is continuing to review the home’s staffing levels on a regular basis. Residents and relatives spoken to felt the staff were unhurried and had time to sit and chat during the course of their working day. The inspector observed this during the visit. Residents and their relatives expressed confidence in the staffing levels of the home. The employment records of the most recent staff members employed by the home were examined and found to be in good order. All the necessary documentation required before employment could commence was obtained. Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 18 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35,38 The manager regularly reviews the quality of the care provided within the home to ensure it is maintained. Residents’ finances are well protected by the systems adopted by the home. The home attempt to ensure the resident’s health and safety is protected at all times. EVIDENCE: The home has a robust quality assurance tool, which the manager is actively involved in. The results of quality assurance surveys are correlated and presented in the entrance hall of the home on an annual basis. The inspector examined the financial records of eight residents living at the home. These records were kept accurately and up to date. Receipts were kept Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 19 for every transaction. The manager is the appointee for a number of residents living at the home. This should only be the case in extreme circumstances and another system should be instigated to assist residents get a more suitable appointee. The staff training records show fire training and manual handling training is regularly provided to staff by the home. Water temperature checks are also checked on a regular basis and the environment is suitably risk assessed. Not all portable electrical equipment is appropriately checked to ensure it is safe to use and could pose a risk to residents. Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 20 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x 3 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 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x 3 x x 2 Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 21 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 OP38 Regulation 13 Requirement All portable electrical equipment should be properly checked before it is used. Timescale for action 31/03/06 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 2 Refer to Standard OP19 OP35 Good Practice Recommendations It is recommended that more seats are made available in the dining room and that the existing seats that are stained are replaced. It is recommended that a more suitable person is found for those residents for which the manager is appointee. Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Green Acres Nursing Home DS0000001342.V280483.R01.S.doc Version 5.1 Page 23 - 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. 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