Inspection on 05/12/05 for Greenacres

This inspection was carried out on 5th December 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Greenacres 07/08/08

Greenacres 08/08/07

Greenacres 21/11/06

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 Greenacres 67 Delapre Drive Banbury Oxfordshire OX16 3WS Lead Inspector Catherine Kane Unannounced Inspection 5th December 2005 15:45 Greenacres DS0000065398.V269345.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 DS0000065398.V269345.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 DS0000065398.V269345.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Greenacres Address 67 Delapre Drive Banbury Oxfordshire OX16 3WS 01295 269535 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) CareTech Community Services (No.2) Ltd Mrs Deborah Jill Bleach Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Greenacres DS0000065398.V269345.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10 May 2005 Brief Description of the Service: Greenacres is a detached family house situated in a quiet residential area of Banbury within walking distance of local facilities. It is registered for up to four people with learning disabilities. Some parts of the home have been adapted for wheelchair access. The home is run and managed by CareTech Community Services Ltd, an organisation with experience in providing services for people with learning disabilities. Greenacres DS0000065398.V269345.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit took place during the afternoon of Monday 5 December 2005. The manager and staff did not know the inspector was planning to visit. The purpose of the visit was to see how the home is meeting National Minimum Standards. The visit took just under two hours and the inspector spent this time with all three residents who currently live at Greenacres. The inspector also spoke with the manager and two staff on duty. The inspector also read notes kept in the home. The residents’ GP and three other health and social care professionals returned Comment Cards to the inspector. All indicated that the health and support needs of residents are very well met by the manager and her staff team. However, two comment cards highlighted their concerns about CareTech senior management support to the home, including CareTech’s failure to increase staff numbers and make the necessary adaptations to the home, so that a resident who uses a wheelchair can have greater access to all the shared areas on the ground floor. The resident now has a smaller wheelchair that makes access easier. The inspector would like to thank each resident for taking the time to speak with her and thank the manager and staff for their assistance during the inspection. What the service does well: What has improved since the last inspection? Some work to introduce a person centred care planning system had started. Greenacres DS0000065398.V269345.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 DS0000065398.V269345.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 DS0000065398.V269345.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): Standard 2 was assessed at the inspection held on 10 May 2005. EVIDENCE: Greenacres DS0000065398.V269345.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): 6 and 7 Care plans had all the essential information staff need to be able to care for residents. Residents’ care plans and other record keeping systems used in the home could be improved. EVIDENCE: The inspector viewed the care plan files for all three residents; each had the essential information that staff need to be able to care for people. The care plans are very large and cumbersome with a lot of information in them. Basic information, risk assessments and individual support requirements need to be quick and easy to read for new staff or agency staff so that they can provide the right care support for the people who live in this home. The inspector saw that a person centred care planning system was being introduced and some work had started to gather information from residents about their hopes and wishes. The further development of the person centred care plans should be completed in a timely fashion. Greenacres DS0000065398.V269345.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): Standards 12, 13, 15, 16 and 17 were assessed at the inspection held on 10 May 2005. EVIDENCE: Greenacres DS0000065398.V269345.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 Staff help residents to get to see their local GP, dentist and other community healthcare services when it is needed. The manager has provided support and offered bereavement counselling to staff and residents following the sad death of a resident. EVIDENCE: Information needed by staff to be able to provide personal and health care support was included in care plans. Residents and staff were supporting and caring for each other following some sad news concerning the recent death of a resident. Greenacres DS0000065398.V269345.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): 22 and 23 The complaints procedure is easy to follow. Staff awareness of adult protection procedures could be improved. EVIDENCE: The registered manager related that she has received no complaints. Staff who met and spoke with the inspector during this inspection were able to provide some degree of understanding of local adult protection procedures in line with the Oxfordshire Multi-Agency Codes of Practice. The inspector strongly recommends the registered manager should ensure that all staff are fully aware and understand the arrangements for protecting vulnerable people from abuse. Greenacres DS0000065398.V269345.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): None Standards 24, 26, 28, 29 and 30 were assessed at the inspection held on 10 May 2005. EVIDENCE: Greenacres DS0000065398.V269345.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): 32, 33, 34 and 35 More staff are needed to meet the needs of residents. The systems for recruitment, selection and performance management of staff who work in this home are generally good. EVIDENCE: Staff spoken with during the inspection confirmed to the inspector that they have a clear understanding of their roles. They have a good understanding of the care needs of each resident. Discussions with the manager, staff and from feedback received from a health and social care professional, highlighted that the current staffing levels are insufficient to meet the changing needs of residents. Since the previous inspection one resident has died and staff numbers have been cut further. The manager confirmed that extra hours should be provided during college holidays for one young resident. The registered manager must review the staffing arrangements based on Department of Health guidance and relating to the needs of residents and must ensure that sufficient suitably qualified competent staff are on duty at all times to meet those needs. The files kept in the home for two staff selected at random had all the necessary documentation in place. Greenacres DS0000065398.V269345.R01.S.doc Version 5.0 Page 15 The manager provided details of the range of training opportunities to enable staff to do their job. Greenacres DS0000065398.V269345.R01.S.doc Version 5.0 Page 16 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, 39 and 42 This home is generally well run and professionally managed. EVIDENCE: The manager recently successfully completed the registration process with CSCI. She provides clear leadership and vision for the home. She is currently undertaking the Registered Managers Award. The inspector receives copies of the proprietors’ representative’s monthly visit reports. Well maintained health, safety and welfare records were kept in the home and were made available for inspection. CareTech, who run this service, has financial and accounting systems subject to internal and external audits. The latest internal quality standards audit made available by the manager indicated the manager and her staff team run a well organised home. Greenacres DS0000065398.V269345.R01.S.doc Version 5.0 Page 17 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 X X X X X Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X 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 3 2 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X 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 2 X 3 X X 3 X DS0000065398.V269345.R01.S.doc Version 5.0 Page 18 YES 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 YA33 Regulation 18(1)(a) Requirement The registered manager must review the staffing arrangements based on Department of Health guidance and relating to the needs of residents, and must ensure that sufficient suitably qualified competent staff are on duty at all times to meet those needs. The registered manager must provide CSCI with, in writing, the detailed outcome of her review of staffing arrangements. Timescale for action 15/01/06 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 YA23 Good Practice Recommendations The inspector strongly recommends the registered manager should ensure that all staff are fully aware and understand the arrangements for protecting vulnerable people from abuse. Greenacres DS0000065398.V269345.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 DS0000065398.V269345.R01.S.doc Version 5.0 Page 20 - 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!