Inspection on 27/04/05 for Greenacres

This inspection was carried out on 27th April 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

Greenacres 21/11/06

Greenacres 18/01/06

Greenacres 12/10/04

Greenacres 30/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Greenacres 62 Harrogate Road Ripon North Yorkshire HG4 1SZ Lead Inspector Maggie Coxon Unannounced 27 April 2005 15:30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Greenacres Address 62 Harrogate Road Ripon North Yorkshire HG4 1SZ 01765 606151 01765 606151 N/A St Annes Community Services 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) Mrs Jennifer Hanrahan Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Registered for 5 service users with learning disabilities some or all of whom may be over 65. Date of last inspection 12th October 2004 Brief Description of the Service: Greenacres is a care home registered by St Annes Community services to provide personal care and accomodation to up to five adults with learning disabilities, some or all of whom 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 accessibale 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 J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first to be undertaken between April 2005 and March 2006. It was done on 27th April 2005, at a time when all of the people living in the home would be present. It took 3 hours plus 2 hours preparation time. Discussions were held with the five people currently living in the home, with the care staff on duty and with the registered manager. A number of records were looked at and most areas of the home including bedrooms and shared areas were seen. What the service does well: What has improved since the last inspection? The heating in three residents’ bedroom has been increased and the en suite facilities in one have been replaced. The knowledge and understanding of the staff and manager have been strengthened by the manager becoming registered with the C.S.C.I and becoming appropriately qualified and through the staff having undertaken more training. Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 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 standard(s) 1 and 2. Prospective residents and/or others involved in arranging a placement within the home are enabled to make an informed choice thanks to the provision of well-detailed information. EVIDENCE: A well-detailed statement of purpose and service user guide have been produced. These provide information concerning services and facilities provided within the home to prospective and current residents and anyone else involved in arranging a placement within the home. No new resident has been admitted to the home for a number of years. Appropriate admission procedures are 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. Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 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 standard(s) 6,7,8 and 9. People living in the home make as many decisions about their personal lives and about the day-to-day running of the home as possible. They also live as independently as possible, taking into account any risks that have to be considered, with the full encouragement and support of staff. EVIDENCE: Several of the residents said that they were aware of their individual personal plans and that these included information about their personal needs and wishes and how these were to be met. These plans were being regularly reviewed. Staff talk to residents about any potential risks as these arise and the individual is supported to make a choice taking this information into account and looking at means of minimising any risk. Residents gave many examples of the choices and decisions that they made on a day-to-day basis. They explained that they held monthly resident meetings and discussed topics including holidays, outings and activities; projects for the home and things that they would like to do within the home. Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 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 standard(s) 11,12,13,15 16 and 17. Residents have a varied and interesting lifestyle and are fully involved in their local community. Individuals enjoy a wide range of social and educational opportunities and develop and maintain good relationships with family and friends. EVIDENCE: Residents explained that they have a weekly programme of activities in a variety of local community based settings. One of them is in part time voluntary employment. They said that they generally enjoy a very relaxed lifestyle in the home. They also talked about activities, trips and outings organized by staff in consultation with them. One of them had recently celebrated a special birthday with a big party. They were busy planning their holidays with staff. One of the residents explained that that staff support them to visit their family and that if family members and friends visited them at Greenacres, they are always made welcome and they are able to meet with them in private. Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 Page 11 They also explained that they make supper for themselves and another resident each evening. They explained that all of the residents are involved in choosing the menus and are offered a choice of food at each meal. The evening meal is generally eaten all together and during the visit residents and staff had a takeaway meal together chosen by the residents. Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 Page 12 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 standard(s) 18,19 and 20. Residents’ personal and health care needs are fully 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. Whilst none of the residents is able to take their own medication, several of them said that they were happy for staff to administer it to them; this was recorded within their care plan. There is a monitored dosage system in operation and all medication is safely stored. Medication administration records are well maintained. The registered manager explained that appropriate medication training had yet to be arranged for all staff by St Annes Community Services although this was being planned. Residents explained that staff respect their privacy and dignity and always knock and request permission to enter before coming into their bedroom. Bedrooms and bathrooms are fitted with locks. One of the residents explained that staff helped them with certain aspects of their personal care and said that they were always helpful and pleasant when doing this. Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 Page 13 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 standard(s) 22. Residents’ concerns are appropriately dealt with and their interests are safeguarded. EVIDENCE: The home has a clear and comprehensive complaints procedure in place that is available in various formats. This is made available to any interested parties. Those residents asked said that they are happy to talk to staff and the registered manager should they have any concerns. They said that the staff are helpful and kind and always listen to them if they have any concerns. No complaints have been made either to the home or to the C.S.C.I. within the last twelve months. Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 Page 14 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 standard(s) 24,25,26,27,28,29 and 30. The standard of the environment is good and provides residents with a safe, comfortable and clean place in which to live. EVIDENCE: The home is generally well maintained. One improvement made in response to the last inspection report is the installation of larger radiators in three of the bedrooms; the residents concerned said that their rooms are much warmer now. The installation of these radiators has however caused some disruption to the decor in these rooms, which would now benefit from being redecorated. All five bedrooms are for single accommodation four on the ground floor one on the first. All are of a suitable size. There is a bathroom on the first floor that is used only by the resident whose room is on that level. One of the four ground floor bedrooms also has en suite facilities. The other three residents use a shared ground floor bathroom. A second improvement made in response to the last inspection report is the refurbishment of this facility. Once again the resident concerned explained that they loved their new shower. Access to this facility has also been improved and redecoration of the room is in hand. Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 Page 15 Appropriate aids, adaptations and equipment are fitted throughout the home and there is level access to one of the external doors and around the perimeter of the premises. The home was clean throughout. Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33 and 35. The residents receive a good standard of care from a staff team that is well trained and highly motivated. EVIDENCE: The care staff are working hard towards achieving NVQs to level 3 in care. One has completed the award, a second is nearing completion and three more are currently undertaking it. The team is therefore moving towards reaching the target of having 50 of care staff trained to NVQ level 2 or above by 2005. Staff members have also attended other training within the last year covering topics including manual handling, health and safety, fire safety, food hygiene, emergency aid and epilepsy awareness. Adult protection training had now also been arranged for the team. The staffing roster for the week including the inspection shows that staff are employed in sufficient numbers and are deployed in such a way as to ensure that the needs of people living in the home are met at all times. Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,41 and 42. The residents benefit from a well managed home in which their needs and wishes are put first. EVIDENCE: The registered manager has considerable management experience and has since the last inspection completed the Registered Managers Award therefore becoming appropriately qualified. Residents said that she is very friendly and helpful and said that they are happy to talk to her at any time including if they have a problem or concern. Staff described her as a very approachable manager with good management and leadership qualities. St Anne’s Community Services has a quality assurance and monitoring system in place that includes regular unannounced visits by the service manager to check on quality issues. It had previously been recommended that this system be further developed to include ascertaining the views of individuals in the community who have contact with the home. The registered manager Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 Page 18 explained that she has sought the views of residents’ relatives and is awaiting their response and that the organization was developing a system to survey other parties. Comprehensive procedures and systems to ensure the safety and wellbeing of residents and staff are in operation within the home. Staff are appropriately trained in health and safety matters including fire safety. All systems, services and equipment are regularly tested. The registered manager explained that since the last inspection, the organization had undertaken a check of the hot water storage system in respect of the prevention of Legionella; they had found however that it was not stored at a minimum of 60 degrees Celsius and will take action to rectify this. Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 Page 19 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 2 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x 2 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Greenacres Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 2 x 3 2 x J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 Page 20 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 None 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. 3. 4. Refer to Standard 20 26 32 39 Good Practice Recommendations All staff involved in the administration of medication should be appropriately trained. The three bedrooms fitted with new radiators should be redecorated. A minimum of 50 of care staff should be qualified to NVQ level 2 or above. The views of health and social care professionals and other stakeholders in the community, as to the quality of services provided within the home, should be ascertained and incorporated into the quality assurance system currently in operation. Hot water should be stored at a temperature that safeguards against Legionella (at a minimum of 60 degrees Celsius). 5. 42 Greenacres J53 JO4 S7875 Greenacres V221426 270405 Stage 4.doc Version 1.20 Page 21 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. 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