CARE HOME ADULTS 18-65
Greenacres 62 Harrogate Road Ripon North Yorkshire HG4 1SZ Lead Inspector
Mrs Irene Ward Unannounced Inspection 18th December 2005 15:00 Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 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 Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 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 Adults 18-65. 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. Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Greenacres Address 62 Harrogate Road Ripon North Yorkshire HG4 1SZ 01765 606151 01765 606151 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) St Anne`s Community Services Mrs Jennifer Hanrahan Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Registered for 5 Service Users with Learning Disabilities some or all of whom may be over 65 27th April 2005 Date of last inspection Brief Description of the Service: Greenacres is a care home registered by St Annes Community services to provide personal care and accommodation to up to five adults with learning disabilities, some or all of who may be aged over 65 years. The home consists of a detached dormer bungalow located on a busy road on the outskirts of the market town of Ripon, community facilities including shops and cafes are within walking distance. Each of the five bedrooms is for single accommodation, two of which have en-suite facilities. Four of these are situated on the ground floor, the fifth is in the first floor. Whilst the home does not have a passenger or stair lift, all areas are accessible to those residents currently living there. There are well-maintained garden areas to the front and rear of the home with level access to the rear and hard standing for parking to the front. Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This report relates to an unannounced inspection carried out on the 18th January 2006, which started at 11.00am until 12.00pm.There were two service users in at the time. A return visit on the same day was carried out between 15.00 hrs until 16.30 hrs as two other service users had arrived home. The registered manager was also on duty that afternoon A tour of the home was carried out which included two of the service users private accommodation, a selection of records were looked at and time was spent observing activity in the home, talking and listening to service users and staff. The focus of the inspection was a number of key standards. There were also discussions with staff and the manager of the home. What the service does well: What has improved since the last inspection?
The home has encouraged and supported the staff team regarding obtaining their NVQ qualifications. 50 of staff is qualified to NVQ Level 2 or above. The organisation has obtained the views of health and social care professionals and other stakeholders through their quality assurance systems. Advice was given to the registered manager that copies of the outcome to people’s views should be held by the home as evidence that this has been carried out. Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 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. Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Prospective service users can be confident before moving into the home that their needs can be met. EVIDENCE: No new resident has been admitted to the home for a number of years. Appropriate admission procedures continue to be in place however, which when followed would ensure that a prospective resident’s needs would be fully assessed before them being admitted and that a programmed introduction to the home would be arranged. No changes have been made to the Statement of Purpose or the Service User Guide. Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 and 10 Service users are supported in making decisions about their personal lives. EVIDENCE: The five service users living at Greenacres have lived together for sometime. It was evident throughout the time spent in the home that service users are supported in making decisions including risk taking as part of supporting their independence. One service user enjoys catching the bus independently into the centre of Ripon and stated that he would miss this if ever he would have to move. Two other service users had been out to day centres. Information regarding both service users and staff are held in the office/sleeping in room and held in locked filing cabinets. Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 Page 10 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 Service users dietary needs are met. EVIDENCE: Service users confirmed that they are involved in choosing the menus and are offered a choice of food at each meal. The lunchtime meal is usually a snack. The main meal is in the evening as it is generally eaten when all the service users are home from activities and day centres. Service users said that the meals at Greenacres are very good. From the records of food provision the home provides service users with healthy nutritional food. Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 21 Service users health and personal care needs are well met. EVIDENCE: Each person living in the home is registered with a GP through whom specialist health services are accessed if required. Staff support them in having regular health checks and checks with their dentist and optician. Several residents said that they were happy with these arrangements. Service users are supported as and when required with personal care, as one service user discussed how they were supported when bathing. Discussions were held regarding the ageing process of service users living at Greenacres. The staff and the registered manager were able to demonstrate their knowledge and understanding, as to the needs of older people with learning disabilities. Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Service users are listened to and protected. EVIDENCE: The organisations policies and procedures are in place regarding the protection of vulnerable adults. The local adult protection policy is also in place. Service users confirmed that if they had any concerns that they would approach staff on duty or wait to see the registered manager it would then be acted upon. Staff were also clear as to what action they would take in the event of a service user disclosing any form of abuse. Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 Page 13 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25, 26 and 30 The environment of the home is maintained to a good standard and provides service users with a clean and homely place in which to live. EVIDENCE: Two service users bedrooms were inspected. Both had been furnished to a good standard. All areas of the home were warm, well lit, ventilated and clean. Three bedrooms have had new radiators fitted. However these rooms are in need of being redecorated. This work has been programmed to be completed before the end of March 2006. There is also some outstanding work remaining regarding the storage of the hot water this work is also to be completed by the end of March 2006. Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 Page 14 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 Service users are protected by the home’s vigorous recruitment procedures. EVIDENCE: Two staff files were inspected. Staff records showed that the registered manager undertakes thorough checks before staff commence working at the home. CRB checks have been carried out and staff had been checked against the POVA first list. All staff complete application forms. Two written references are obtained. Staff files also contained records of supervision. Copies of training certificates are also held on each individual staff file. Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 42 Service users’ health safety and welfare are promoted and protected. EVIDENCE: Throughout the day from discussions held with service users and staff and through observation, Greenacres continues to be managed well with a committed staff team. The organisations health and safety policies and procedures are in place. A number of health and safety records were inspected all of which were up to date and accurately maintained Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 3 Standard No 24 25 26 27 28 29 30
STAFFING Score X 3 2 X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Greenacres Score 3 3 X 3 Standard No 37 38 39 40 41 42 43 Score 3 X X X X 2 X DS0000007875.V269898.R01.S.doc Version 5.0 Page 17 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. 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 YA26 YA42 Good Practice Recommendations The three bedrooms fitted with new radiators should be redecorated. Hot water should be stored at a temperature that safeguards against Legionella (at a minimum of 60 degrees Celsius). Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Greenacres DS0000007875.V269898.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
