Inspection on 27/06/07 for Green Bank EMI Care Home

This inspection was carried out on 27th June 2007.

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 Bank EMI Care Home 15/06/09

Green Bank EMI Care Home 25/04/06

Green Bank EMI Care Home 19/10/05

Green Bank EMI Care Home 26/04/05

Green Bank EMI Care Home 07/12/04

Green Bank EMI Care Home 09/07/04

Green Bank EMI Care Home 29/07/02

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

CARE HOMES FOR OLDER PEOPLE Green Bank EMI Care Home 11 Hastings Road Bexhill-on-sea East Sussex TN40 2HJ Lead Inspector Paul Stibbons Key Unannounced Inspection 27th June 2007 12:00 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 Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 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 Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Green Bank EMI Care Home Address 11 Hastings Road Bexhill-on-sea East Sussex TN40 2HJ 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) 01424 211704 01424 218281 Pillowatrick@aol.com Mrs Judy Pillow Miss Sophie Williams Care Home 16 Category(ies) of Dementia - over 65 years of age (16) registration, with number of places Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is sixteen (16). Service users must be older people aged sixty-five (65) or over on admission. Service users with a dementia type illness only to be accommodated. Date of last inspection 29th July 2002 Brief Description of the Service: Greenbank is located close to Bexhill-on-Sea old town and about one mile from the seafront. There is access to local shops, public transport, churches and other community services. Greenbank is a long established family owned home registered to accommodate up to 16 older people with a Dementia type illness. The property was originally a two storey Victorian house, which has since been extended to accommodate residents on the ground floor of the building. There are fifteen bedrooms, one of which may be used as a shared occupancy room but is currently used as single occupancy. All bedrooms have en-suite facilities and there are toilets and bathroom/shower rooms located throughout the premises. There are two large lounge areas, one of which is utilised as a quiet lounge. The home has a good sized dining area, which overlooks the homes secure fishpond. There is a large well maintained garden to the rear of the property with has easy access for residents. Potential new residents can obtain information relating to the home via Care Managers, Placing Authorities by word of mouth and by contacting the home direct. The range of fees charged (at the time of this report) are £400 - £450 per week, with extra charged for hairdressing, chiropody, newspapers and toiletries. Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over a period of four hours and the registered provider was present along with the deputy manager. The home had provided the CSCI with a completed AQAA (Annual quality assurance assessment) prior to the inspection. A tour of the building was carried out and a variety of records and documents were examined. The inspector held discussions with management, members of staff, residents and visiting relatives. What the service does well: What has improved since the last inspection? What they could do better: There are no requirements arising from this inspection and the management is aware of the need to strive for continuous improvement within the service. Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 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 Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be assured that the home can meet their needs prior to admission. Residents are provided with an individual written contract of terms and conditions with the home. EVIDENCE: Care plans examined evidence that in addition to a copy of a care management assessment from the placing authority, the home conducts their own pre-admission assessment for information about medical, social and personal care needs. These pre-admission assessments are carried out by the home’s registered manager or the deputy. Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 Page 9 Records within the care plan include a written contract of terms and conditions with the home. There is an open policy for relatives to visit the home and assess the facilities. This service does not cater for intermediate care. Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social care needs are met and are recorded in their individual care plans. Residents are protected by the home’s policy and procedure for dealing with medication. EVIDENCE: A sample of care plans that were examined were comprehensive in covering all aspects of residents’ health, personal and social care needs with evidence of input from resident/relative/representative. The registered provider confirmed that these plans are now reviewed on a monthly basis. Records viewed evidenced referral to other healthcare professionals when required. Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 Page 11 Observation of staff and resident interaction demonstrated a good understanding of individual need and a mutual respect for each other. Residents spoken with were complimentary about the care and support received from carers. The procedures for monitoring and recording of medication are reviewed periodically by the local pharmacist. Medication is stored appropriately and only administered by competent trained staff members. Records viewed were legible and complete with a secondary check system. Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The lifestyle experienced by residents matches their preferences and satisfies their social, religious and recreational needs. Residents are supported in maintaining friendships and family contact and they enjoy a wholesome and varied diet according to their choosing. EVIDENCE: Activities are arranged within the home and within the local community, residents are encouraged to participate but are able to decline the opportunities if they wish. Examples of activities that take place in the home are word association, scrabble, mild mobility exercises to music and reminiscence sessions on a 1 – 1 basis. A professional external activity coordinator visits every Wednesday. The home has two lounges where one has a television and the other provides a quieter environment to meet residents’ preferences. Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 Page 13 A “Care at Home” agency comes into the home and takes residents out for meals, shopping trips, walks into town etc. There is an open policy for relatives to visit and residents can entertain guests in communal areas or in their own rooms. Many of the relatives take residents out for the day. Two sets of relatives were visiting at the time of this visit and spoke positively about the care their relative received and the facilities available. A visiting priest visits and arrangements are in place for residents to receive non-denominational or Roman Catholic communion if that is their wish. The home has a qualified cook and menus are devised on a weekly basis and able residents are involved in making choices. Menus viewed were varied and healthy and all meals are home cooked with an alternative and vegetarian options. Residents spoken with were complimentary about the quality and quantity of food provided. Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives know their complaints and concerns will be listened to, acted upon and responded to. Residents are protected from abuse and neglect. EVIDENCE: The home has an established complaints procedure in place and the provider states there have been no complaints since the last inspection. The home keeps a written record of complaints along with the responses to the complaint. Relatives spoken with were familiar with procedures and state that they would have no difficulties in raising issues with staff and management of the home. The deputy manager has a “Train the Trainer” qualification and ensures staff members receive refresher training around complaints and the protection of vulnerable adults. All of the staff team have received training around adult abuse issues and those spoken with were familiar with reporting procedures. Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean and hygienic environment. They have comfortable bedrooms and there are sufficient toilets, bathrooms and washing facilities to meet their needs. Residents have access to safe and comfortable indoor and outdoor communal facilities. EVIDENCE: The home has recently redecorated six rooms and replaced carpeting on the lower floor. A number of bedrooms are fitted with pressure pads to alert night staff if residents are on the move. Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 Page 16 Residents have access to safe and comfortable indoor and secure outdoor facilities. Bedrooms are comfortable and most have the personal possessions of occupants within them reflecting individual interests and lifestyles. There are adequate toilets and washing facilities that are accessible to all residents and hand washing equipment has been provided as required by the previous inspection. Specialist equipment is provided to maximise the independence of those residents who require it. Hazardous areas are kept secure to prevent injury to residents who may not recognise the dangers. The home has an infection control policy in place and a waste management contract. Records indicate that all staff have recently received training around infection control. Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are cared for by sufficient numbers of competent staff to meet their needs. Residents are protected by the home’s policies and procedures in recruiting staff. EVIDENCE: The home has robust recruitment procedures in place including obtaining two references and appropriate CRB and POVA checks. Where appropriate the home has made necessary checks on foreign workers in line with Home Office guidelines as evidenced by documents on file. There were sufficient numbers of staff on duty to meet the needs of residents at the time of this visit. The manager states that the staff complement daily is a cook, cleaning staff, laundry staff, support staff, the manager and deputy manager. The manager states that some NVQs are near completion and this will achieve the target of 50 qualified staff in the home. Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 Page 18 Training files viewed evidence staff training in induction, fire safety, manual handling, health and safety, food hygiene, adult protection and infection control. Staff members spoken with feel they have the training opportunities to ensure they have the necessary skills and knowledge to competently fulfil their roles. Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and residents benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of residents and their health, safety and welfare is promoted and protected. EVIDENCE: Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 Page 20 The registered provider is now conducting monthly monitoring visits as part of quality assurance and has addressed concerns raised at the previous inspection. New carpet has been fitted in areas of concern and rugs creating hazards removed. The home has implemented a maintenance development plan for improvements and so far six rooms have been redecorated, carpet renewed, and access to hazardous areas secured. Health and safety records show that gas inspection has been conducted and portable appliance testing carried out. Wheelchairs have appropriate footplates fitted. Records viewed evidence that safety checks are conducted on food hygiene, fire equipment and water. Policies and procedures were reviewed in June 06 and the manager states they are to be reviewed in July 07 and that they are now compatible with the staff handbook. The home conducts annual quality assurance surveys and the registered provider states that a notice board is about to be fitted and will display the findings along with other information about the home. There is evidence of two monthly supervision meetings with staff members and staff spoken with confirmed this takes place. Staff members spoken with state that the management team is open and approachable and observations demonstrated a good working relationship. Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 Page 21 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 X 3 3 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Green Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Bank EMI Care Home DS0000021120.V340304.R01.S.doc Version 5.2 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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