Inspection on 24/04/08 for Greenfield House

This inspection was carried out on 24th April 2008.

CSCI found this care home to be providing an Excellent service.

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

Greenfield House 05/09/06

Greenfield House 08/11/05

Greenfield House 23/07/05

Greenfield House 14/12/04

Greenfield House 27/07/04

Greenfield House 24/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 Greenfield House Springfield Road Leek Staffordshire ST13 7LQ Lead Inspector Linda Clowes Key Unannounced Inspection 24th April 2008 09:30 Greenfield House DS0000030345.V363219.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 Greenfield House DS0000030345.V363219.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. Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greenfield House Address Springfield Road Leek Staffordshire ST13 7LQ O1538 385916 01538 372728 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) Staffordshire County Council, Social Care and Health Directorate Mrs Annette Cox Care Home 10 Category(ies) of Dementia (2), Learning disability (10), Mental registration, with number disorder, excluding learning disability or of places dementia (2), Physical disability (2) Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2006 Brief Description of the Service: Greenfield house is a purpose built Local Authority home that can accommodate ten people whose age ranges from 18 years to 65 years of age on a long-term basis. The Home provides individual bedroom accommodation and personal care for young adult service users with learning disability, mental disorder or dementia, requiring twenty-four hour residential care. There are sufficient communal areas, bathrooms and toilets to accommodate the needs of the people who use the service. The home is located in a suburban area close to Leek town centre, nearby to shops and amenities and is accessible by public transport. The home has robust links with a nearby day centre where residents regularly attend throughout the week. This local day centre provides transport when required by the home with a purpose built minibus for excursions. The home is owned by Staffordshire County Council and operated by Staffordshire Social Services. Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is 3 star. This means that the people who use this service experience excellent quality outcomes. One inspector carried out this unannounced inspection and inspected against the National Minimum Standards for Care Homes for Younger Adults (18-65). The inspection took place over a period of six hours and included an examination of records, service user care plans, personnel files and associated recruitment procedures, complaints files, health and safety records and a feedback session. Various methods were used to obtain information regarding the service. Questionnaires were sent out to eight relatives/advocates and to local social and healthcare professionals who had knowledge of the service. The Registered Manager was not on duty at the time of this inspection however Lilian Slann, Care Manager assisted the inspector on the day. Greenfield House is a single storey building situated on the outskirts of Leek Town. Accommodation is provided for ten younger adults with a learning disability. Each has their own bedroom and access to bathing and toilet facilities to meet their needs. The home had comprehensive and current information about the service and its aims and objectives that would enable parents/advocates to determine whether Greenfield House would be able to meet their relative’s individual needs. Robust pre-admission assessments were undertaken by the home and social and healthcare professionals to ensure that the home could meet the complex and challenging needs of prospective service users. The home’s care planning records were up to date and regularly reviewed. Service users and their relatives were invited and encouraged to take part in decisions about their lives and the running of the home. The home had good working relationships with other professionals and actively sought advice and input from healthcare professionals with a view to ensuring that people were able to lead as independent a lifestyle as possible. We observed sensitive and professional interaction between staff at all levels and the people who use the service. Individuals were relaxed in their approaches to the staff team and the staff team were seen to respond very well to a service user group with little verbal communication. Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 6 The staff team was trained and experienced to meet the complex needs of the people in their care. A high proportion of staff had attained National Vocational Qualification (NVQ) level 2 in care within the learning disability framework. Staff considered they were well supported by the management team and that they were provided with the training they needed to do a good job. The home was managed by a Registered Manager who had the qualifications and experience to run the home and who provided good leadership. It was apparent that the home was run in the best interests of its users. What the service does well: What has improved since the last inspection? There had been an improvement in the Medication Administration Records. Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 7 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. Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 8 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 Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 9 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): 1,2,3,4,5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is a comprehensive range of clear, accurate and accessible information for people who use the service and their relatives/advocates. Contracts gave clear information regarding terms and conditions of residency and were provided to all users of the service. EVIDENCE: All individuals who are resident in Greenfield House have been admitted on a long-term basis the last having been admitted in 2005. Several others have been resident since 1993. The Statement of Purpose and Service User Guide were current and informative with accurate and detailed information that outlined the home’s aims and objectives. Detailed contracts were in place that clearly outlined the terms and conditions of residency. The Service User Guide has been developed into a format that incorporates symbols and pictures for those individuals who may more easily recognise this form of information. Evidence in the small random sample of files inspected confirmed robust and comprehensive pre-admission assessments to ensure that the individual’s complex needs could be met by the home. Individuals receive innovative and Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 10 personalised services that focus on the needs identified in their person centred plans. The home liaises with a wide range of social and health care professionals, family members and advocates to tailor an individual person centred plan of care that flexibly and reliably meets expressed needs, preferences and lifestyles. Equality and diversity needs are promoted. Staff were aware of the policies and procedures and were able to relate these to practice. There was clear evidence that the home addressed equality and diversity issues in a positive and constructive way. The home was aware that there could be further progress in this respect and one relative who responded to the surveys commented that “she was used to going to church regularly when at home and now never goes”. Regular reviews of individual’s were carried out that included all stakeholders and it was apparent that the needs and aspirations of service users were at the heart of the service. We received feedback from three healthcare professionals who each expressed satisfaction with the care provided at Greenfield House. The following comments were added to surveys: “The home provides an environment as near to home life as possible. They build relationships with clients”. “The staff work hard to provide opportunities within the constraints of the systems within which they operate i.e. staffing levels. The service works hard to help the individuals they support. They work well with other members of the multidisciplinary team and have good professional working relationships across the services. The staff are highly motivated to meet the needs of the individuals they care for”. “They always refer to appropriate services to maintain and promote client care. Never work in isolation and are valued members of the team when increased support/change in health needs occur. Care staff always appear to respond to cultural needs. Greenfield’s standard of care is excellent in all areas. On regular contact I have not had any concerns. The service may improve with increased staff and resources”. Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 11 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): 6,7,8,9,10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service works hard to ensure that service users and their advocates are able to participate in decisions regarding their lives in the home. Every attempt is made to deliver the service to enhance the life of each person. EVIDENCE: Person centred care planning forms the focus for the service. Care plans are monitored monthly by home’s staff and there are six-monthly reviews carried out with other external social and healthcare professionals. The views of service users and their advocates are actively sought and valued. Comprehensive information regarding issues that are important to individuals, their goals and aspirations form the basis of care planning and staff are aware of their responsibilities to seek creative and realistic ways of meeting needs. Individual needs and choices in relation to equality and diversity are recognised and were evident, including ethnicity and religious considerations. There was evidence of an extensive risk assessment framework for all aspects of service users lives that sought ways to enable individuals to carry out Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 12 procedures safely rather than seeking ways of preventing them from taking risks. Care planning records and recording systems ensure that care is provided to the highest standards. During the inspection we observed close liaison with the local Day Services Centre that is attended by all service users. Any concerns that are identified at Day Services are reported to the home in order that issues can be appropriately addressed. The management and staff team were clear about the sharing of information, confidentiality and when information must or should be shared. We observed professional and sensitive interaction between service users and staff that provided a calm and relaxed home for the people who use the service. As part of this inspection the plans of care for two individuals were randomly selected. There was detailed information relating to the social, health and leisure activities. Respect for privacy and dignity was consistent in records and in the provision of service. Staff were observed assisting and communicating with service users in a friendly and inclusive manner. Detailed records were in place in relation to all healthcare intervention. The home confirmed that there was excellent support from local General Practitioners and the Community Outreach Nurses. Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 13 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): 12,13,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service understands the rights of people using the service and promotes these with fairness, dignity and respect. Routines are individualised and reflect the diverse needs of the service user group. Service users are provided with a nutritional and balanced diet that also reflects any special dietary needs. EVIDENCE: The service user group at Greenfield House has complex and challenging needs. The service understands and actively promotes their interests and strives to create the means for individuals to be integrated into community life and leisure activities. All residents attend day services from Monday to Friday. There is close liaison between the two services to ensure that service users are well supported. Each person who uses the service has a ‘keyworker’ who is responsible for their particular needs. It was apparent that even where there was no verbal communication, staff knew each individual so well that they were able to respond effectively. Service users appeared relaxed in their home and were Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 14 confident in their approaches to staff. We observed friendly and sensitive interaction between service users and staff. Service users made it clear on their return to the home from Day Services what they wanted to wear, drink and eat and staff responded to individual requests. Family links are encouraged and promoted. Photographs displayed in service users bedrooms show family and friends. The home arranges regular group meetings with families and advocates and welcomes suggestions that will improve the service. One relative commented “My (relative) lives their life to the full since they have lived there”. Where possible service users are included in menu planning. Where possible, residents are included in domestic duties and shopping. One resident was seen clearing the table after they had eaten, others needed support from staff at mealtimes. The cook was aware of any dietary needs of residents and meals were tailored to individual needs taking into account health and personal taste. Residents who are able to prepare their own meals (with support from staff) are actively encouraged to do so. Staff were observed to be patient and helpful and allowed individuals the time they needed to finish their meal comfortably. The cook and staff involved in food preparation had attained Food Hygiene Certificates. The dietician was involved when required and an appointment had been made for her to visit one resident in the near future Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 15 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): 18,19,20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The managers and staff team have the qualifications, experience and skills to prove appropriate services to people who have complex needs and who present challenging behaviour. There were robust systems in place regarding administration and recording of medication. EVIDENCE: The managers and staff team have the qualifications, experience and skills to provide appropriate services to people who have complex needs and challenging behaviour. The healthcare and emotional needs of service users are well met. The staff team are sensitive to changes in mood, behaviour and well-being of individuals and respond appropriately and in a timely manner. Staff respected individual preferences. The staff team was made up of both male and female carers and responded sensitively in all situations involving personal care. Staff training was specific to the needs of individuals who have learning disabilities. Aids to daily living are provided throughout the home to promote independence. Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 16 The last inspection report identified gaps in the Medication Administration Records and made a requirement for the home to address this matter. There were robust procedures in the place regarding medication procedures and practices. All but two staff who were responsible for the administration of medication had attended accredited medication training. Two were presently undertaking medication training. An inspection of the medication procedures and records on this visit found them to be satisfactory with appropriate and secure storage arrangements. The local pharmacy provide regular checks of medicine and were sensitive to the special needs of service users e.g. medication that was needed in the middle of the day was separately packed into additional blister packs in order that it could be taken with the service user to Day Services All residents are registered with a General Practitioner and the home confirmed that local GP’s were responsive and supportive. GP referrals to specialists for speech therapy, continence advice, epilepsy, psychiatry, psychology, learning disability nurse are made as required. All residents attended for routine medical checks (dentist, chiropodist, etc). Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 17 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): 22,23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The open culture in the home welcomes complaints and suggestions about the service. Staff received training that encompassed the vulnerable adults policy, whistle blowing policy and the complaints procedure in order that they know how to respond to any concerns. EVIDENCE: The home has a complaints procedure that is outlined in the Statement of Purpose and Service Users Guide. Staff Meetings and Parent/Carer Meetings openly discuss the complaints procedure and seek to respond to any concerns raised with the home. An inspection of the complaints file found that none had been received since the last inspection report. The Commission had not received any complaints regarding Greenfield House since the last inspection. An inspection of staff training found that staff had attended Protection of Vulnerable Adult training. Staff are informed about the Whistle Blowing policy during their induction training. The AQAA identified that the manager was aware of the local authority Safeguarding Procedures and how to appropriately refer. Staff spoken with understood verbal and physical aggression in service users and knew how to respond appropriately. Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 18 Relatives who responded to surveys confirmed that they knew how to complain with two adding that they had never needed to complain. Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 19 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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The living environment was appropriate to the individual needs of the people who live at Greenfield House. EVIDENCE: Greenfield House is a purpose built, single storey Local Authority home that provides personal care and accommodation for ten service users. All bedrooms are for single occupancy and are tastefully decorated to reflect the occupant’s personality and taste. One is large enough to accommodate a wheelchair user. Communal facilities include two lounges/dining room, kitchen, laundry, two bathrooms one with assisted bath, one shower and toilet facilities located conveniently around the home. A kitchenette was provided in the main dining room. An adjacent self-contained flat for two residents consists of two separate bedrooms with en-suite facilities, kitchen, lounge and conservatory. Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 20 The home was well-maintained, clean and tidy. There were no malodours. Aids to daily living were fitted throughout to promote independence. Overhead tracking and hoists were available. Appropriate locks were provided on bedroom doors that enabled the door to be opened freely from the inside. Adequate car parking and walkways were provided. It was suggested that consideration should be given to assessing the security of the building by way of erecting fences to increase privacy. (Recommendation 1) It was also recommended that screening be fitted to the window in the stationery room off the lounge. (Recommendation 2) Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 21 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): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had a team with the skills-mix to meet the needs of its service users. Good recruitment practices and comprehensive training ensured that service users benefited from well-supported and trained staff. Staff received regular individual supervision and had individual personal development plans to ensure continued professional development. EVIDENCE: Information provided confirms that there are sufficient staff to meet the needs of service users. Over the last three months it has been necessary to use some agency staff on the night shift. It was interesting to note that the agency had to send someone from South Staffordshire to work in Greenfield House in view of the specialist qualifications and experience needed to work in the home. There was an experienced staff team with 6 who have more than 10 years experience and fourteen who have between 5 and 10 years experience. The files of two recent recruits were inspected. It was found that robust recruitment procedures had been undertaken to ensure that people were fit to work in the home. Criminal Records Bureau Enhanced Disclosures (police checks) had been taken up as well as two references. Induction training had Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 22 been provided which took five days and both had continued to undertake further relevant training. We spoke with two care staff who were on duty and both confirmed that they had received induction and on-going training. Both confirmed that they were well supported by managers and that they attended regular individual supervision sessions and team meetings. Both stated that the manager operated an open door policy and was always readily available should they need help. Other staff spoken with reported high levels of satisfaction with the management of the home. A high proportion of the staff team had attained National Vocational Qualification (NVQ) level 2 within the Learning Disability Framework (LDAF) and one was presently working towards this award. Two have attained NVQ level 3. Since the last inspection care staff had received training for the Management of Actual or Potential Aggression and had attended Mental Capacity Act Training. The Community Outreach Nurse had provided “Assessing Healthcare Needs” training. The service has recently introduced Personal Development Plans (PDP’s) for all staff which are reviewed an updated every six months. In surveys relatives expressed satisfaction with the staff team adding additional comments as follows: “Very professional and well motivated staff. Greenfield’s has a very warm and welcoming feel. The level of care provided is extremely high and detailed in its approach to individual needs”. “In all respects the staff are faultless. They are all kind and considerate in all aspects”. “I am very satisfied with the care my relative receives. I cannot fault the staff”. Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 23 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): 37,39,42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Registered Manager is qualified, competent and experienced to run the home and meet its stated purpose, aims and objectives. The health and welfare of service users are promoted and protected. EVIDENCE: The registered manager has the required qualification and experience to run the home. The ethos of the home and the way it is run shows an understanding of people’s needs. It was apparent that service users benefited from her leadership. The Annual Quality Assurance Assessment (AQAA) that was submitting by the manager to inform this inspection contained clear, relevant information with a wide range of supporting evidence. The home worked to clear health and safety policies. An inspection of various maintenance and fire safety records found these to be up to date and satisfactory. Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 24 The home employed a Support Services Administrator to provide administrative support. Finances of service users were protected by the home’s policies and procedures that were audited regularly by the local authority finance department. Greenfield House had been awarded a Charter Mark in recognition of its robust and transparent administrative systems. This was due for renewal shortly and there were plans to apply to renew this award even though it would take a good deal of work and effort. There was evidence that risk assessment procedures were well understood and appropriately used. An inspection of Accident Records identified that these were being wellmanaged for both service users and staff. Service user records were neat, tidy and appropriate. It was noted that some older records were being stored in an outside storeroom and it was recommended that any personal information should be removed and archived. (Recommendation 3) In view of the profound communication difficulties experienced by service users, the manager and staff sought the views of relatives and advocates both informally and at Parent Meetings in order to improve the quality of the service. Staff received health and safety training at induction that was updated and regularly reviewed. Several of the management team are trained trainers for moving and handling which ensures that regular updates of this training are provided for staff. There were sufficient staff trained in First Aid to ensure that there was a First Aider deployed on each shift. There was a Training Programme in place to ensure continued development of the management, care staff and housekeeping teams. Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 25 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 3 2 4 3 3 4 3 5 3 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 X 26 X 27 X 28 X 29 x 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 3 LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 3 X X 3 x Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 26 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. 1 2 3 Refer to Standard YA24 YA24 YA42 Good Practice Recommendations It is recommended that consideration be given to erecting fencing around the building to promote privacy and health and safety for the people who use the service. It is recommended that screening is fitted to the window in the stationery room off the lounge. It is recommended that any confidential, personal information stored in the outside storeroom be removed and archived. This will protect confidentiality for the people who use the service. Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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. Extracts may not be used or reproduced without the express permission of CSCI Greenfield House DS0000030345.V363219.R01.S.doc Version 5.2 Page 28 - 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. 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