Inspection on 04/10/05 for Green Lane House

This inspection was carried out on 4th October 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

Green Lane House 01/12/08

Green Lane House 27/11/07

Green Lane House 04/10/06

Green Lane House 02/03/06

Green Lane House 14/03/05

Green Lane House 08/09/04

Green Lane House 12/03/04

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

CARE HOMES FOR OLDER PEOPLE Green Lane House Green Hill Brampton Cumbria CA8 1SU Lead Inspector Liz Kelley Unannounced 04 October 2005 10.30 am 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. Green Lane House F58 F10 s43390 green lane house v242267 041005 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Green Lane House Address Green Hill Brampton Cumbria CA8 1SU 016977 2345 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) Greenlane Care Homes Ltd Claire Pratt Care Home 28 Category(ies) of 28 OP - Old Age registration, with number 5 DE(E) - Dementia, over 65 of places Green Lane House F58 F10 s43390 green lane house v242267 041005 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two service users may share a bedroom of at least 16 sqm usable floor space only if they have made a positive choice to do so and when a shares space becomes vacant the remaining service user has the opportunity to choose not to share, by moving to a different room if necessary. 2. When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchari users and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. 3. The home is registered for a maximum of 28 service users to include: up to 28 service users in the category of OP (old age not falling within any other category) up to 5 service users in the category DE(E) (Dementia over 65 years of age 4. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 5. The home is registered from time to time to admit persons between the ages of 60 and 65 years of age.) Date of last inspection 14 March 2005 Brief Description of the Service: Greenlane House is a period home, on the outskirts of Brampton, set in extensive well-maintained gardens with ample car parking. There are 25 bedrooms, 7 of which were en-suite, with an additional three assisted baths and four separate wcs. There are three communal lounge areas, which open onto patios, and an additional smaller room, which was designated as a smoking area. The Home has a passenger lift, ramps and rails and has suitable furniture and equipment to met the needs of older service-users. The services provided included meals, personal care, and administration of medications, personal laundry, organised activities and trips out. Green Lane House F58 F10 s43390 green lane house v242267 041005 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over the late morning and afternoon period. Time was spent talking to the majority of residents. Documents examined included care plans, daily notes and safety and maintenance records. The manager and staff on duty were all interviewed. Three visiting relatives were asked about the care of their relative. What the service does well: 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. Green Lane House F58 F10 s43390 green lane house v242267 041005 ui stage 4.doc Version 1.40 Page 6 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 Green Lane House F58 F10 s43390 green lane house v242267 041005 ui stage 4.doc Version 1.40 Page 7 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) 2,5 The home has robust procedures in place to introduce new service users and each person has a full assessment prior to living at the home. This ensures that they only take people whose needs they can meet, and the individual has the opportunity to vet the home and make an informed choice of where to live. EVIDENCE: Files contain relevant paperwork, including social work assessments and reports from health care professionals prior to a person choosing to stay at the home. The manager carries out her own assessment which includes visits to see the person in their own home or while in hospital. Documentation confirms that service users are accepted only on the basis of a full assessment involving appropriate professional input and consultation with service users and their families. One resident described their introduction to the home which included a series of tea-time and over-night stays, and another had used the respite facility prior to making a decision. This procedure was in line with the Homes Statement of Purpose, and these measures resulted in successful placements. Green Lane House F58 F10 s43390 green lane house v242267 041005 ui stage 4.doc Version 1.40 Page 8 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) 7,8,10 Care plans are regularly reviewed and altered and are pertinent to each persons care needs. Health care needs are carefully monitored and service users are confident that the home can meet their needs. Positive and supportive relationships are formed between staff and residents leading to a caring, friendly atmosphere. EVIDENCE: Plans are clear, well laid out, concise and regularly reviewed. A visiting District Nurse interviewed stated that she, and the other nurses at the practice, were very happy with the Homes ability to manage the health care of service users. She stated that, in partnership with the Home they had successfully nursed a number of service user who were terminally ill and had requested that they remain at the home. A ‘Health Check’ monitoring system is carried out by staff which included blood pressure, pulse, and weight. Staff deliver care in a sensitive and respectful manner by: addressing serviceusers by their preferred name; knocking on doors and enabling service-users to maintain as much independence as possible. Green Lane House F58 F10 s43390 green lane house v242267 041005 ui stage 4.doc Version 1.40 Page 9 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, Good links and relationships have been developed with the local community and with relatives that support and enrich residents’ social and leisure time. The home has a good understanding of each residents past and actively promotes hobbies and interests. EVIDENCE: Residents and their relatives state that they have been pleased to be offered more opportunities to go out locally, which included: trips to shops and cafes in Brampton and Gretna, and to local beauty spots. Organised activities include trips out, crafts and cookery sessions, entertainers, sing-a-longs, bingo, indoor and outdoor boules. Service users spoke of enjoying glass painting, quilling and going out for walks and for coffee. An Activities Book is kept to record events retrospectively, and service users were given information verbally and by use of Information Boards in each of the sitting rooms of forthcoming events. Some service users are able to go out unaccompanied for walks and into the village, and this has been carefully monitored by the home with risk assessments and input from relatives. Green Lane House F58 F10 s43390 green lane house v242267 041005 ui stage 4.doc Version 1.40 Page 10 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) This area was not looked at in any depth on this inspection, although no formal complaints had been received either to the home or directly to Commission for Social Care Inspection. This area will be examined at the next inspection. EVIDENCE: Green Lane House F58 F10 s43390 green lane house v242267 041005 ui stage 4.doc Version 1.40 Page 11 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 A continuous programme of improvements and maintenance has ensured that the accommodation is of a high standard and is comfortable and homely. EVIDENCE: The Home is maintained to a high standard and benefits from an on-going programme of improvements and maintenance. The owners, since taking over in June 2004, have refurbished bedrooms, extended car parking space, built a new medicines cupboard, added soap and towel dispensers in all bathrooms and wc’s, and had extended outdoor storage areas. The main lounge and many bedrooms have been completely refurbished to a high quality. On the day of the inspection the home was clean, tidy and free from offensive odours. The manager has policies and procedures in place and sufficient domestic staff hours to maintain a good standard of hygiene and cleanliness. Staff are given training on infection control and good practice guidelines were posted in the staff room on “Infection Control Reminders”. Green Lane House F58 F10 s43390 green lane house v242267 041005 ui stage 4.doc Version 1.40 Page 12 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) 27,28,30 Greenlane House has a competent and well-trained workforce with a good mix of skill, experience and age. This results in high levels of satisfaction from residents, relatives and professionals with the care that is delivered. EVIDENCE: Evidence indicates that the Home is well staffed, having above the recommended ratio of carers to residents and care hours. The registered manager provides a comprehensive induction programme for new staff, and following this staff are offered training in Health and Safety, Food Hygiene, Care Practices, Manual Handling. These all complied with national training targets. Staff training is arranged by a rolling programme including: first aid, Food hygiene, Moving and handling, safe handling of medicines, Infection control, Healthy eating, Fire Warden course, Certificate in Care skills, Safety compliance, Parkinson’s and Diabetic awareness and in pressure care. For some of the training sessions the manager has booked the local community centre to avoid disruption to service users. Since the last inspection staff have also had training in Dementia care, eye care, and care of the terminally ill. Training is arranged in response to the changing needs of service users. The evidence examined demonstrated that this standard was exceeded. Green Lane House F58 F10 s43390 green lane house v242267 041005 ui stage 4.doc Version 1.40 Page 13 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) 31,33,38 The management and administrative systems in the Home are well-developed which ensures a consistently high level of service. Service user consultation is good with a variety of ways that service users views are both sought and acted upon. EVIDENCE: The manager’s leadership style is such that it produces an open and positive atmosphere in the home. Service users state that the manager is very approachable and issues or concerns raised are dealt with swiftly. Staff describe the manager’s style as ‘very supportive, nothing is too much trouble’, ‘hands on style of management’. Staff feel they are part of a team all contributing the best standards for service users. The manager has systems in place to monitor the physical aspects of the home such as maintaince, renewal, and up-keep of the building and equipment. A Satisfaction questionnaire has been devised and a recent catering survey highlighted high levels of satisfaction but requests for more fish on the menu. Green Lane House F58 F10 s43390 green lane house v242267 041005 ui stage 4.doc Version 1.40 Page 14 The Home has produced a quality assurance system based on a systematic cycle of planning-action-review, and detailing outcomes for service users. Green Lane House F58 F10 s43390 green lane house v242267 041005 ui stage 4.doc Version 1.40 Page 15 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 3 x x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 4 28 x 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 4 x 3 x x x x 3 Green Lane House F58 F10 s43390 green lane house v242267 041005 ui stage 4.doc Version 1.40 Page 16 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 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. 1. Refer to Standard Good Practice Recommendations Green Lane House F58 F10 s43390 green lane house v242267 041005 ui stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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. 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