Inspection on 16/06/06 for Green Willow Residential Home

This inspection was carried out on 16th June 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 Willow Residential Home 04/08/08

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

CARE HOMES FOR OLDER PEOPLE Green Willow Residential Home 21-23 Vicarage Lane East Preston Littlehampton West Sussex BN16 2SP Lead Inspector Mrs K Allen Unannounced Inspection 16th June 2006 09:15 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 Willow Residential Home DS0000066141.V300454.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 Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Green Willow Residential Home Address 21-23 Vicarage Lane East Preston Littlehampton West Sussex BN16 2SP 01903 775009 01903 773320 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) Green Willow Care Limited Mrs Julie Alison Howard Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Green Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th November 2005 Brief Description of the Service: Green Willow is a care home registered to provide personal care and accommodation for up to eighteen older people over the age of sixty-five. It is situated in East Preston, West Sussex and is within a couple of miles of Rustington and 5 miles from Littlehampton and therefore close to all amenities including the sea. The premises consist of two-storey accommodation although all residents’ rooms are on the ground floor only. All rooms have en-suite facilities with four having bath en-suite. There are large gardens to the rear of the property and good size frontage, all of which is very well maintained. Green Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since it was registered under new owners in November 2005. This included an analysis of incident reports and those of other statutory bodies such as the fire service. The inspection took place from 9.15 over five and a quarter hours. During the inspection eight residents were seen privately and four others in the lounge over coffee. The deputy manager and administrator were interviewed and a discussion held with the manager and cook. Other staff were seen going about their duties. In addition, a number of records were examined. The new owners of the home have submitted plans for an extension to the premises. These are currently under consideration with the local planning officer. The transition from one owner to the other was managed very well so that the home continues to be run in residents best interests. They said that the home was “splendid” that staff were “awfully good” as well as “very kind”. They enjoyed the food and appreciated the manner in which the premises were maintained and kept clean. What the service does well: What has improved since the last inspection? The home was inspected as a new service due to the change in ownership. It continues to provide a good level of care which in some areas in excellent. Green Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 Page 6 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 Willow Residential Home DS0000066141.V300454.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 Willow Residential Home DS0000066141.V300454.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 The outcome for residents is good. No-one moves into the home without having their needs assessed. Intermediate care is not provided. EVIDENCE: All residents have a written assessment which was carried out prior to their admission to the home. It gives all of the necessary information such as their care needs, social interests, religion and family circumstances. All of the residents were living at the home on a permanent basis. Green Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9 & 10 The outcome for residents is good. Their health, personal and social care needs are set out in an individual care plan. They are able to make decisions about their lives. They are protected by the homes medication procedures and their privacy and dignity are respected. EVIDENCE: Residents had written care plans which were updated each month. These were overseen by the manager or her deputy who discussed them with the individual concerned. Residents were encouraged to sign the plan, failing which relatives took responsibility for this on their behalf. One person had recently needed a change to her care plan as she was getting frailer. The inspector was impressed with the fact that she was able to explain this change in detail, thereby showing the level of involvement she has had and the ability of staff to engage residents in their care. Arrangements were in place for the recording of action required to be taken by staff to ensure that care plans were adhered to. However, these records were not always complete or up to date. For example, records showed that one person had not had a bath for nine days. The manager and staff assured the inspector that this was not the case and the resident said that she bathed twice a week. However, there was no evidence of this or the fact that the Green Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 Page 10 resident may have refused a bath. Other records showing when residents nails, skin condition and feet were checked were up to date. Residents were well presented and good records were kept of any appointments with health professionals. These showed that they saw their GP’s as well as specialists such as community nurses, psychiatrists and chiropodists. No residents were suffering from pressure areas and staff understood how to ensure the incidence of pressure sores was minimised. Resident were encouraged to take exercise, their weight was monitored and they had regular appointments for sight and hearing checks. Staff look after the medication for all residents as it is not considered safe for them to handle it themselves. All medicine is safely stored in a locked cabinet. It is administered in line with the homes policy by staff who are trained to do so. The home has a pharmacy agreement and the arrangements were checked during the week of this inspection and found to be satisfactory. All medicines given to residents are recorded. Staff were observed attending to residents and did so in a manner which preserved their dignity and privacy. They knew and used their preferred form of address and consulted them on how they wished to be supported. Staff are provided with a notice to place on the bedroom door when they are attending to a resident so that they are not unnecessarily disturbed. During one such occasion the member of staff engaged the resident in general conversation whilst changing her bed. This was friendly in nature but professional. It gave the resident an opportunity to talk about her life, family etc and when she mentioned that she may be going out the member of staff asked if she should notify the kitchen, thus enabling good communication. Green Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 14 & 15 The outcome for residents is excellent. They enjoy the lifestyle offered at the home and have good contact with the local community, family and friends. They are encouraged to exercise choice and control over their lives and receive a wholesome and appealing, balanced diet. EVIDENCE: Residents are satisfied with the daily routines, which enable them to participate in activities as well as meet family and friends. Residents interests are recorded and they are provided with activities such as craft sessions and outings, the most recent being to a local show. Each person at the home receives a monthly newsletter giving them information about forthcoming events as well as any changes taking place. This provides them with good information on which to plan their days. Residents could have visitors at any time and all have their own room in which to meet with them. The home is part of the local community and arrangements were in hand for the forthcoming fete. Residents handle their own money although the home looks after small amounts for four people to cover everyday expenses. This is managed by the administrator, who is the sole key holder. This means that when she is not at work these residents do not have access to their own money. The manager confirmed that they prepare for this and know if a resident has enough money Green Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 Page 12 before the administrator goes off duty and this arrangement has never caused any problems. She is advised to keep it under review. Residents have contact with relatives who can represent them and one person confirmed that she has an independent advocate. All of the residents said that they enjoyed their meals. A cook is employed on a part-time basis and she knows each residents likes and dislikes as well as any special diets. Fresh vegetables are generally used and the menu showed that a varied diet was provided. The dining room is always laid up in a pleasant manner and residents enjoy meeting up with each other at meal times. Staff provide discreet support to those who need it but aim to allow residents as much independence as possible. Green Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 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 the following standard(s): 16 & 18 The outcome for residents is good. They are confident that their complaints will be satisfactorily dealt with. They are protected from abuse. EVIDENCE: There is a written complaints procedure which is made available to residents when they come to live at the home. When asked what she thought of the home one resident said “it’s no-one else’s business. Mrs Howard calls in regularly and sees how things are and that’s how it should be. I can always talk to her”. There is a copy of West Sussex Multi-Agency Adult Protection procedures at the home and staff were aware that it was currently being updated. They also have their own procedure and staff understood that any concerns must be taken seriously and that they would report such concerns to the manager. However, they were not clear that any investigation is undertaken by the local Social Service Department. There have been no complaints or allegations of abuse at the home. Green Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 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 the following standard(s): 19 & 26 The outcome for residents is excellent. They live in a safe and very well maintained environment which is clean, pleasant and hygienic. EVIDENCE: The location and layout of the home is suitable for it’s purpose. It is in a small village and many of the residents lived locally before entering the home. The building is in keeping with the local neighbourhood. All residents’ accommodation is on the ground floor and a number of the rooms look out onto the garden. This, and all other areas are very well maintained. The building complies with the requirements of the local fire service and environmental health department. The new owners have submitted plans for an extension to the premises and these are currently under consideration. All areas of the home were very clean. The laundry, in particular is clean, well equipped and very organised. It is evident that staff treat residents laundry with care which in turn provided evidence of further respect for residents. All soiled linen is washed at appropriate temperatures and there is a wash hand basin in the laundry to prevent any cross infection. Green Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 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 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): 27, 28, 29 & 30 The outcome for residents is good. Their needs are met by the number and skill mix of the staff. They are in safe hands at all times and protected by the homes recruitment procedure. Staff are trained to do their jobs. EVIDENCE: There is a recorded rota showing which staff are on duty at any time. Each shift consists of three care staff until 2pm and two until 10pm as well as ancillary staff such as the cook and two domestics. In addition, the manager or her deputy will be on duty during the week. At night there are two staff asleep on the premises and one person awake. There has been a good National Vocational Qualification (NVQ) training programme at the home which has lead to more than 70 of staff achieving NVQ level 2 or 3 which exceeds the national minimum standard. Robust staff recruitment procedures are in place, which include taking up of two references and a Criminal Records Bureau (CRB) check for each person appointed. The manager ensures that prospective staff have an informal visit to the home prior to pursuing their application and she keeps a record of their interview, which is good practice. All staff receive induction training when they first come to work at the home and this is recorded. In addition, staff are offered one off courses such as food hygiene, safe lifting, fire safety and first aid. Green Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 Page 16 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): 31, 33, 35 & 38 The outcome for residents is good. They live in a well run home which is managed by a competent person. It is run in the best interests of residents and their financial interests are safeguarded. The health, safety and welfare of residents and staff is safeguarded. EVIDENCE: The manager is qualified to NVQ level 4 including the Registered Managers Award. She is experienced, having run the home for some time. She is only responsible for one home and there are clear lines of accountability within the home and with external management. The manager and owner are to be congratulated on the manner in which they handled the transition into new ownership. This has had no adverse effect on residents or the running of the home. Residents were kept informed throughout the process and this has ensured that they remain confident in the management of the home and secure in the knowledge that it continues to be run in their best interests. Green Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 Page 17 The manager provides questionnaires to all visitors to the home in order to obtain feedback on its performance. She has also recently undertaken a survey of residents regarding the meals provided. It is intended that the outcome of these questionnaires will be published in the homes monthly newsletter and the information will used to inform developments at the home. As previously stated, all residents manage their own money. This is often with help from family or a solicitor. Four people deposit money at the home for safekeeping. This is safely stored and this is suitably accounted for. Safe working practices are supported by training for staff in such areas as lifting and handling, fire safety and infection control. All hazardous chemicals are safely stored. There are good systems in place for maintaining electrical equipment, servicing boilers and controlling risk from hot water and radiators. All accidents are recorded and safety procedures are made available to staff and residents. Green Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 Page 18 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Green Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 Page 19 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. 1 2 Refer to Standard OP7 OP18 Good Practice Recommendations Records showing action taken in line with care plans should be up to date and accurate All staff should be familiar with the homes adult protection procedures Green Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Willow Residential Home DS0000066141.V300454.R01.S.doc Version 5.2 Page 21 - 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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