Inspection on 08/12/05 for Greenacres Care Home

This inspection was carried out on 8th 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 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 Care Home 15/08/07

Greenacres Care Home 22/08/06

Greenacres Care Home 09/08/05

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

CARE HOMES FOR OLDER PEOPLE Greenacres Care Home Greenacres Care Home Ltd 71 Cameron Street Heckington Lincolnshire NG34 9RP Lead Inspector Julie Western Unannounced Inspection 8th December 2005 09:30 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 Greenacres Care Home DS0000063741.V270848.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 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. Greenacres Care Home DS0000063741.V270848.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Greenacres Care Home Address Greenacres Care Home Ltd 71 Cameron Street Heckington Lincolnshire NG34 9RP 01529 460935 01529 469162 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) Greenacres Care Home Ltd Mrs Angela Walker Care Home 28 Category(ies) of Dementia - over 65 years of age (11), Mental registration, with number disorder, excluding learning disability or of places dementia (1), Old age, not falling within any other category (28) Greenacres Care Home DS0000063741.V270848.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories:Old age, not falling within any other category (OP) (28) Dementia - over 65 years of age (DE[E] (11) Mental disorder, excluding learning disability or dementia (MD) (1) The category MD applies to one named person aged over 58 years who is named in the notice of proposal to register dated 21st November 2003. Date of last inspection 9th August 2005 Brief Description of the Service: Greenacres Care Home is privately owned and managed and is situated in the village of Heckington, with access to local amenities, which include shops, a hairdresser, GP practice and dental surgery. A mobile library visits the home. The home is a detached house in the centre of the village, near to the church and has been adapted and extended from a former domestic premises to provide the present accommodation. The first floor is used for storage and office accommodation. The home provides personal care for up to 28 people over 65 years, some with a Dementia and one being a named person under 65 years and with a defined mental health need. On the day of the inspection the home was accommodating 27 residents. The home is also registered for up to six day-care places; this facility was not inspected. All bedrooms are single apart from 2 double bedrooms. There are en-suite facilities in 6 bedrooms. There is an enclosed courtyard and a large garden to the rear of the home, which includes an orchard, gazebo, garden chairs, trees, shrubs and a large lawn. There is a small car park area to the side of the home close to the entrance. Greenacres Care Home DS0000063741.V270848.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 4 hours. A partial tour of the building took place and care records were inspected. The main method of inspection used was called ‘case-tracking’; this involved selecting three residents and tracking the care they received through the checking of their records, discussions with residents and care staff and observation of practices. Some policies and procedures were examined and records concerning the safety of the home were also seen. Four of the 27 residents, three of the 28 care and ancillary staff and four visitors were spoken with. The Manager of the home were present throughout the inspection What the service does well: What has improved since the last inspection? The rolling maintenance programme is in progress, with the complete redecoration of the corridors and communal areas almost completed. New curtains have been purchased throughout and a partition removed from the lounge/dining are, making the rooms much lighter and brighter; all residents said they thought it was a great improvement. The kitchen has been reorganised and the large freezers have been removed, creating more worktop space. A new IT system has now been installed in the office and the home has a web site. There is always a supply of fresh fruit available in the lounge area. Greenacres Care Home DS0000063741.V270848.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 Care Home DS0000063741.V270848.R01.S.doc Version 5.0 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 Greenacres Care Home DS0000063741.V270848.R01.S.doc Version 5.0 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): 1,3,4,5 The home clearly sets out what it intends to do for its residents and this information is freely available to residents. A comprehensive initial assessment ensures that the needs of residents can be met. Prospective residents are encouraged to take time before making the decision to move into the home on a permanent basis. EVIDENCE: The statement of purpose was examined and was clear and comprehensive. It contained the service user guide, which should be separate and should be given to all residents. It was recommended that a copy of the service user guide was kept in each room. The Manager said that prospective residents were offered one month’s trial on both sides. The day care facility gave residents the opportunity to experience the home before permanent placement and a resident described how she had been to the home for respite care before being admitted on a permanent basis. Greenacres Care Home DS0000063741.V270848.R01.S.doc Version 5.0 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): 7-10 The home’s records give a clear indication of the needs of residents and enable staff to meet their needs with sensitivity and regard for their privacy and dignity. EVIDENCE: The three care plans looked at in depth contained concise but clear assessments, including risk assessments. Other information was kept in a separate folder in a locked cabinet. There was a clear medication policy and the most recent visit from the pharmacist was 10/3/05, from which there were no concerns recorded. The Manager confirmed that only trained staff administered medication. Residents said they felt safe and well looked after; one said ‘The staff here are very kind and quick to help us’. The staff team were observed carrying out their duties with patience and sensitivity towards the residents, especially when attending to their personal needs. A visiting district nurse, who had been visiting the home for many years, said that the standard of care at the home was one of the best in the area; the carers were knowledgeable and always available to discuss her patients. Greenacres Care Home DS0000063741.V270848.R01.S.doc Version 5.0 Page 10 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): 12-15 Social activities are extensive and create a variety of events and activities which residents are informed about. The residents exercise choice about which activities, if any, they wish to participate in and what meals they want to eat. EVIDENCE: The Manager said that one of the senior carers was responsible for arranging activities and events, which were advertised on the doors of the home. The home has an eight-seat ‘people-carrier’, which is used to take residents out on weekly trips to Boston market, Lincoln or to local shops and garden centres. Activities in the home included craftwork, music, board games which included reminiscence therapy games and Bingo. The home also received visits from outside clothing retailers, entertainers including slide shows, black and white films and country/Irish dancing. The home now has a newsletter advertising future events, and the aim is for residents to contribute to it, although the December Newsletter did not contain any contributions. The midday meal was balanced, nutritious and easy for older people to eat, with a use of fresh fruit and vegetables. Menus were balanced and showed a choice and a variety of meals; the day’s menu was displayed in the entrance hall and in the lounge. Residents all said they enjoyed the meals and the buffets and evening trolleys were praised in particular. They said they were frequently asked for their input to the menu. Greenacres Care Home DS0000063741.V270848.R01.S.doc Version 5.0 Page 11 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 home’s complaints procedure is clear and gives residents and their relatives the confidence that comments and concerns will be listened to; there is a robust adult protection procedure EVIDENCE: Residents and visitors to the home all said they did not wish to complain but knew how to make a complaint. The home had received no complaints in the last twelve months. There was a clear adult protection procedure, which was linked to the Local Authority procedures. All staff members spoken with had received training on adult abuse through the NVQ training and were knowledgeable about complaints. All residents were on the electoral register and exercised their rights to vote if they wished. Solicitors were actively involved with the affairs of at least four residents and one resident who had no relatives had regular visits from advocates arranged by the home and Social Services. Greenacres Care Home DS0000063741.V270848.R01.S.doc Version 5.0 Page 12 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): 19-22,25,26 The residents live in a comfortable and pleasant environment with both private and communal space, which is generally suitable for their needs. EVIDENCE: There are adaptations such as raised toilet seats, grab rails and corridor rails and a call system is installed throughout the home. The home has a rolling maintenance rota and risk assessments are carried out on the premises to ensure that residents are safe from any potential hazards. One resident said ‘I’m comfortable and safe here’. Since the last inspection the corridors and communal areas have been completely redecorated. New curtains have been purchased throughout and a partition removed from the lounge/dining are, making the rooms much lighter and brighter; all residents said they thought it was a great improvement. The kitchen has been re-organised and the large freezers have been removed, creating more worktop space. Overall the standard of decoration was good and afforded residents a great degree of comfort. The gardens and grounds were well-maintained and contained summerhouses and places for residents to sit out in good weather. Greenacres Care Home DS0000063741.V270848.R01.S.doc Version 5.0 Page 13 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): These standards were not inspected. EVIDENCE: Although these standards were not fully inspected, the staff rota showed that there were enough staff numbers according to the staffing matrix and shifts were staggered to accommodate the needs of residents; resident, staff and visitors all said there were enough staff members on duty to complete their tasks. Greenacres Care Home DS0000063741.V270848.R01.S.doc Version 5.0 Page 14 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 home is managed competently and the staff are supported and supervised in carrying out their respective roles. The views of residents are listened to and they are involved in decisions affecting them. EVIDENCE: The registered Manager is an RGN, has completed the NVQ Manager’s award at Level 4 and is currently working towards the Assessors Award. She has had 35 years’ experience in caring and has managed this home for the past 16 years. Residents spoken with said they were constantly asked for their views on matters concerning the running of the home and there were questionnaires which had been completed by residents or their relatives. Residents’ finances were controlled by the Manager and audited by the owner. The majority of the policies and procedures have been updated. Greenacres Care Home DS0000063741.V270848.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 X X 3 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Greenacres Care Home DS0000063741.V270848.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? none 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 OP1 Regulation 5 Requirement Timescale for action 02/02/06 2. OP7 15[2] The registered person must ensure that each service user receives a copy of the service user guide, which should be a separate document from the statement of purpose The registered person must 02/02/06 record the dates when care plans are reviewed on the care plan 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 OP1 OP3 Good Practice Recommendations It is a recommendation that a copy of the service user guide is retained in each service user’s room It is a recommendation that the needs assessment includes a past history of the resident, with their permission. Greenacres Care Home DS0000063741.V270848.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Care Home DS0000063741.V270848.R01.S.doc Version 5.0 Page 18 - 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. 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