This inspection was carried out on 9th February 2006.
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 but made no statutory requirements on the home.
CARE HOMES FOR OLDER PEOPLE
Greenfield Nursing Home Tag Lane Ingol Preston Lancashire PR2 7AB Lead Inspector
Elaine Clare Unannounced Inspection 16th February 2006 10:00 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 Greenfield Nursing Home DS0000006046.V279353.R01.S.doc Version 5.1 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. Greenfield Nursing Home DS0000006046.V279353.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Greenfield Nursing Home Address Tag Lane Ingol Preston Lancashire PR2 7AB 01772 723745 01772 760836 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) www.bupa.com BUPA Care Homes (CFHCare) Limited Mrs Alison Louise Gregory Care Home 112 Category(ies) of Dementia (48), Old age, not falling within any registration, with number other category (63), Physical disability (1) of places Greenfield Nursing Home DS0000006046.V279353.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The home is registered for a maximum of 112 service users to include: up to 48 service users in the category of DE (Dementia), up to 63 service users in the category of OP (older people over 65 years of age) and 1service user in the category PD (physical disability). 7th July 2005 Date of last inspection Brief Description of the Service: Greenfield care home with Nursing is part of BUPA care homes and is situated on the outskirts of northern Preston. The home is a purpose built modern property made up from four units. Oak, Elm, Beech and Maple each serve the needs of different residents and are assessed prior to admission to identify the best unit that will meet their needs. The home can provide care for 112 residents who may need nursing input and also provides care for people that suffer from dementia. There is a local garage that doubles as a newsagents across the road and a modern pub which serves food daily. The home is accessible to the motorway and the local bus service regularly passes the home. Greenfield Nursing Home DS0000006046.V279353.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3 hours and was carried out to ensure that compliance has been achieved to the requirements made at the last inspection. A tour of the premises took place and staff and care records were inspected. Three nursing staff were spoken along with a number of residents. What the service does well: What has improved since the last inspection? 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. Greenfield Nursing Home DS0000006046.V279353.R01.S.doc Version 5.1 Page 6 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 Greenfield Nursing Home DS0000006046.V279353.R01.S.doc Version 5.1 Page 7 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): 1,2 The homes Statement of Purpose and service users guide are excellent providing residents and prospective residents with details of the services the home provides enabling an informed decision about admission to the home. EVIDENCE: The range of information available to prospective residents includes good information such as photographs and feedback from quality assurance programme, which seeks the views of current residents. People living at the home liked the fact that they were asked to give their views and that these were then published in information about the service. Contracts were seen for residents who had been admitted into the home and all met the standard required. A number of residents were seen to be confused and two residents case tracked had a diagnosis of dementia. The home is registered currently to take 48 residents with dementia. It appears this may have been exceeded and needs to be reviewed. Greenfield Nursing Home DS0000006046.V279353.R01.S.doc Version 5.1 Page 8 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): EVIDENCE: No standards were assessed during this inspection. Greenfield Nursing Home DS0000006046.V279353.R01.S.doc Version 5.1 Page 9 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): EVIDENCE: No standards were assessed during this inspection. Greenfield Nursing Home DS0000006046.V279353.R01.S.doc Version 5.1 Page 10 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): 18 Complaints are handled objectively and residents are confident that their concerns will be listened to. There is a vulnerable adult procedure in place to ensure a proper response to any suspicion or allegation of abuse. EVIDENCE: The registered manager ensures that residents are protected from physical, financial or material, psychological or sexual abuse, neglect, and discriminatory abuse or self-harm. There are robust procedures in place for responding to suspicion or evidence of abuse or neglect to ensure the safety and protection of residents. Staff spoken to were aware of the procedures to follow should they suspect anyone being abusive to residents. Greenfield Nursing Home DS0000006046.V279353.R01.S.doc Version 5.1 Page 11 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): 21 The dated bathrooms used by the residents do not reflect the high standard of the environment seen elsewhere in the home. EVIDENCE: The bathrooms in the home are dated and unappealing. They have exposed pipe work, overhead toilet cisterns and cold tiled floors. In contrast to the rest of the home they are below standard. This has been brought to the attention of the previous manager and the present manager following a number of inspections. It was first highlighted as a requirement following the inspection in September 2003. The manager was required to improve the bathrooms within a twelve-month period and given September 2004 as a deadline. This has now passed and the bathrooms remain poor. Greenfield Nursing Home DS0000006046.V279353.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: No standards were assessed during this inspection. Greenfield Nursing Home DS0000006046.V279353.R01.S.doc Version 5.1 Page 13 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): 34, 35 The individual residents money was handled well. EVIDENCE: There are suitable accounting and financial procedures that are adopted to demonstrate current financial viability. The insurance certificate was seen on the wall in the reception area and shown adequate cover. Written records were seen of all the transactions made on behalf of the residents and their money. All records were clear and well managed. Greenfield Nursing Home DS0000006046.V279353.R01.S.doc Version 5.1 Page 14 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 3 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X 2 X X X X X 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 X X X 3 3 X X X Greenfield Nursing Home DS0000006046.V279353.R01.S.doc Version 5.1 Page 15 Are there any outstanding requirements from the last inspection? Yes 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. 2. Standard OP19 OP1 Regulation 23(2)(d) 4 Requirement The bathrooms throughout the home must be reasonably decorated. The home must review the current occupancy to ensure that the residents fall into the correct number of category Timescale for action 30/09/06 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Greenfield Nursing Home DS0000006046.V279353.R01.S.doc Version 5.1 Page 16 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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