Inspection on 31/01/07 for Greenbanks

This inspection was carried out on 31st January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Greenbanks 18/02/06

Greenbanks 24/08/05

Greenbanks 10/12/04

Greenbanks 21/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Greenbanks Green Hills Barham Canterbury Kent CT4 6LE Lead Inspector Nicki Dawson Unannounced Inspection 31st January 2007 13:15 Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 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 Greenbanks DS0000023427.V303597.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 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. Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greenbanks Address Green Hills Barham Canterbury Kent CT4 6LE 01227 831731 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) Family Investment (One) Limited Mrs Roberta June George Care Home 19 Category(ies) of Learning disability (19) registration, with number of places Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The 2 residents with physical disabilities should also have a learning disability 18th February 2006 Date of last inspection Brief Description of the Service: Greenbanks provides residential care for up to 19 adults with a learning disability. The detached property is set in the rural village of Barham. Within walking distance of the home is a shop with a post office, village hall, bowls club and two churches. Buses provide links to Canterbury and Folkestone. The home is owned and managed by Family Investment Limited. The families of the residents buy shares in the company. The company also operates a day centre, which is set in the grounds of the home, but is staffed and managed separately. The home covers three floors. All residents occupy single rooms. All rooms on the second floor are en-suite. On the first floor there is a shower room and bathroom. On the ground floor there are two bathrooms, one of which has been adapted for disabled access. There is a main lounge, small lounge, conservatory and dining room. The home is set within 7 ½ acres of attractive grounds. Sufficient car parking space is provided. The fee level is 473.80 per week. Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, which means that nobody knew that the inspector was coming to the home. The inspection started at 1.15pm and took six hours. Time was spent in the office talking with the home manager and looking at records. The inspector spoke with residents, care staff and relatives. She joined everyone for dinner. The inspector looked around some of the rooms in the home. What the service does well: What has improved since the last inspection? The way that staff record the medicines that they give to residents has got better. This has made it safer for residents. Residents have helped to write a number of documents in the home that are about them. They are the service user guide, the complaints procedure, and policies about risk assessment, outings and money. Residents help to choose new staff for the home by asking them questions at a staff interview. Staff now have the right training when they start work at the home. Staff meet with the home manager on a regular basis to talk through any problems that they may have. Two resident bedrooms now have their own shower and toilet. This means that the resident does not have to use a shared bathroom any more. Greenbanks DS0000023427.V303597.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. The summary of this inspection report can be made available in other formats on request. Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 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 Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents are given information about the home that is easy to read and their needs are fully assessed, before they move to the home. EVIDENCE: The home has produced a ‘statement of purpose’ that sets out the aims, objectives and philosophy of the home, together with the services and facilities provided for residents. Residents have been involved in making a ‘service user’s guide’ to the home. It is easy to read, using words and pictures. It clearly sets out for residents, the services and facilities that they can expect if they move to the home. This is a really good piece of work. Essential information is obtained about all new residents before they are admitted to the home. This information is recorded and staff confirmed that they knew the resident’s basic needs before they moved into the home. The home’s assessment process is one of continuous development. The needs of the resident are added to from the day the resident is admitted to the home and then ultimately inform the resident’s individual plan of care. Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Greenbanks is first and foremost a home for the residents who live there. Residents’ participate in all aspects of life in the home and their individual needs and choices are promoted. EVIDENCE: Care plans tell a story about a person’s life. They include all essential information about a person’s care needs and staff support that is needed. Any important information is highlighted in bold. Care plans are easy and interesting to read. Staff said that they use them regularly. Staff are sensitive to a resident’s level of ability when supporting them to make choices. Some residents have written policies and procedures for the home. One example is a policy on residents’ monies. This clearly states that residents Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 Page 10 are encouraged to save monies for holidays, activities and Christmas. Clear records are kept of all transactions involving residents’ monies. Residents said that they have regular, recorded meetings where they come together to discuss their home life. Residents take an active part in interviewing potential new staff. Residents are encouraged to be as independence as possible. The home is proactive in identifying potential risks in daily life. A written strategy is developed as to how each potential hazard should be managed. Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home supports residents to live fulfilling lives. EVIDENCE: Residents are allocated one day at home a week to do their share of the household tasks. During the inspection, residents were seen clearing the table, hovering and helping in the kitchen. Family Investment offers a range of day opportunities for the residents. In the grounds of the home there is a workshop where residents take part in arts and crafts. Nearby, residents work in the pottery, vineyard and teashop. Some residents attend college and are very proud of this achievement. Residents participate in a wide variety of leisure activities such as the Special Olympics, yoga; keep fit, bowling and trips to the pub. Some residents attend Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 Page 12 the local church. There is an events board on the wall in the conservatory, which details coming special events and resident holidays. The home has it’s own transport. Residents are encouraged to keep in regular contact with family members and to take part in social events. The inspector joined residents for dinner. Residents are offered a choice at mealtimes and have a balanced diet. Dinner is a very social occasion where staff and residents come together and catch up on the day’s events. Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ personal and healthcare needs are fully met. EVIDENCE: Residents’ healthcare needs are clearly recorded in their individual plans of care. One staff member is responsible for ensuring that residents attend regular appointments with the dentist, chiropodist, optician and GP. Clear records are kept of all these appointments. All staff have received training in the administration of medication. Staff demonstrated that they knew what to do if they made a mistake in giving out medication. The home is looking at a different way of assessing the competency of staff in giving out medication. All requirements made about the recording of medications administered in the home at the last inspection have been addressed. Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff team listen and act on residents’ and relatives views and have the ability to protect adults from abuse and neglect. EVIDENCE: Historically, there have been no complaints about this service. Staff are familiar with the home’s complaints procedure. Residents and relatives confirmed that the home aims to sort out any concerns as they arise. Some residents have helped write the home’s complaints policy. Staff are trained in how to protect vulnerable adults from abuse. Staff said that they felt confident to report any incident that they suspected maybe a form of abuse. Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Greenbanks is a home for the residents who live there. EVIDENCE: Greenbanks is a large, detached house surrounded by gardens. It is in walking distance of the village of Barham and public transport. Residents’ rooms are on all three floors. All residents have single rooms. On the second floor, unused space has been used to create two bedrooms with ensuite toilet and shower facilities. The home manager explained that next year all rooms on the first floor will have en-suite facilities. Resident’s bedrooms are decorated according to individual needs and tastes. The home is clean and smells fresh. Staff know how to minimise the spread of infection. They are going to receive updated training in this area in the next few months. Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a trained, competent and well-supported staff team. EVIDENCE: There is a consistent staff team at the home. Staff are good at listening to residents, are motivated and have a good understanding of the needs of people with learning disabilities. All staff said that their knowledge and understanding of dementia care increased after going on a training course. The home takes steps to ensure that 50 of staff are trained to NVQ level 2. Robust procedures are in place when recruiting new members of staff. Residents take part in interviewing new staff. Staff are provided with a handbook. New staff receive ‘skills for care’ induction training, as recommended by the National Minimum Standards. Staff receive regular, recorded supervision with the home manager. Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a well-run home. EVIDENCE: The registered manager has worked at the home for nearly thirteen years, and been the manager for the last six years. She has completed her NVQ Care level 4 and Registered Managers Award. Residents, staff and relatives agree that the registered manager is one of the strengths of the home. She is clear in her aims for the home and has a strong, but fair leadership style. People commented, “‘this home works so well’, and, “If we suggest something, she (the registered manager) takes it on board”. Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 Page 18 The home uses various methods to gain the views of residents, staff and stakeholders about the quality of care provided at Greenbanks. The home receives monthly visits from the registered provider. Staff meetings and supervisions are held. The home’s policy states that there are shareholders meetings and an annual general meeting. Residents said that their views were sought and listened to at residents meetings. Residents complete a quality service questionnaire quarterly, with the help of an advocate. The home manager is active in ensuring that all maintenance in the home is up to date. Policies and procedures are in place to minimise the health and safety risks to residents and staff. There is a rolling programme of staff training to ensure that all staff are trained and receive refresher training in fire, first aid, food hygiene, infection control and moving and handling. Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 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. 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 4 2 X 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 4 4 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 3 X X 4 X Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 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. 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. Refer to Standard Good Practice Recommendations Greenbanks DS0000023427.V303597.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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