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Inspection on 19/12/05 for Greenfields Lodge Residential Care Home

Also see our care home review for Greenfields Lodge Residential Care Home for more information

This inspection was carried out on 19th 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

It was clear during the inspection that the staff team worked well together and encouraged the involvement of service users and their families in the running of the home through domestic arrangements and planning activity. The home provides a pleasant domestic and homely service that service users feel safe and welcomed in. Activities are varied and suggested by the service users and are arranged on an individual or if requested, a group basis. A good and friendly attitude was shown in the home and although only one service user was present during the inspection, it was seen that a good rapport existed between himself and the staff.

What has improved since the last inspection?

Since the last inspection, more staff training has been carried out and the manager has achieved both the NVQ 4 in care and the Registered Managers Award.

What the care home could do better:

As noted at the previous inspection improvements could be made to access the garden areas as there are a number of slopes and embankments that may prove difficult for wheelchair users. Access into rooms may also be difficult for wheelchair users to move about the home independently and the fitting of automatic openers would be beneficial. Attention should be given to make repair where the walls have suffered damage and a mirror in the shower room, needed securing.

CARE HOME ADULTS 18-65 Greenfields Lodge Residential Care Home 152a Stockton Road Hartlepool TS25 5BQ Lead Inspector Stephen Willcock Unannounced Inspection 19th December 2005 10:00 Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Greenfields Lodge Residential Care Home Address 152a Stockton Road Hartlepool TS25 5BQ 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) 01429 232892 01429 232252 Milbury Care Services Limited Mrs Angela Robertson Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd August 2005 Brief Description of the Service: Greenfields Lodge is a modern, purpose built single storey building situated in a residential area of Hartlepool. Accommodation is provided in fully furnished single rooms with en-suite facilities. Most areas of the home and gardens to one side are accessible to wheelchair users. The remaining garden to the side of the home is banked. The home is registered to provide personal care and accommodation for up to 10 adults who have a learning disability. Currently accommodation is offered on a short break basis rather than permanent occupancy. Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 19th December 2005 and lasted about 2.5 hours. Time was spent talking to the manager and staff and one service user as other service users had not yet arrived at the home. We looked around the building and at files and documents. Records and service user case files were well maintained, and held information that was clear and easy to read. The home provides an open and inclusive atmosphere where service users can enjoy a short break in familiar surroundings. A friendly and welcoming approach is maintained and service users can look forward to a varied programme of activities and new experiences. What the service does well: What has improved since the last inspection? Since the last inspection, more staff training has been carried out and the manager has achieved both the NVQ 4 in care and the Registered Managers Award. Greenfields Lodge Residential Care Home DS0000021749.V267800.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. Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5 The home can demonstrate how it can meet the service users needs and provides an agreement as a statement of terms and conditions. EVIDENCE: The home produces a Service Users Guide for each service user, available in a picture format and giving good detail of the services provided. Admission to the home is for a short stay only but service users stay on a regular basis. Prior to admission, service users are given full information about the home and what it can offer, including an invitation to look around the home and meet staff and other service users. Pre admission assessments were also carried out to identify how the home would be able to meet the service users needs. Service agreements were in place for each service user and took the form of a statement of terms and conditions or contract. Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 Confidential information is securely held. EVIDENCE: Confidential notes and files are securely kept and service users are given the option of where they wish the files to be kept. A record of these wishes and agreement is in place for each service user. Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 15, 16 and 17 The home encourages contact with the local community, families and friends, and enables service users to take responsibility for their lives including areas of work and food. EVIDENCE: The manager said service users were active in the local community, going bowling, to the local church and recently to a concert. Service users were often at the local shopping centre and to the local pubs. A picture board had been set up in the home to show the various activities that had been enjoyed. Contact with family and friends, was maintained and regular even though the home admitted service users for short breaks only. The manager said, service users got on well together and had made many friendships inside and outside the home. The home encouraged service users to be part of the community by using local amenities and frequent trips out at shops and social events. Staff were seen to carry out their roles with respect and maintaining the dignity of the service user. Service users were encouraged to take responsibility for their daily needs as much as possible and assisted in keeping their rooms tidy. Even though the home was for short breaks, service users Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 11 could expect to use the same bedroom on each admission and this allowed them to have their room the way they liked it. Food served at the home was to service users preference. Staff said service users would often choose what to eat on a daily basis but any dietary need or special diets would be considered. Service users could take part in cooking as an activity, and the manager said service users had recently enjoyed making peppermint creams. Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 Health and emotional needs are met. EVIDENCE: There were good contacts with local healthcare providers and health checks were arranged and carried out regularly. One service user was receiving the services of a nurse on a daily basis under their own funding arrangements. Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Arrangements are in place to deal with complaints and service users views and opinions are listened to. EVIDENCE: A complaints procedure and policy was available in the home for service users and their families. The manager said, service users could raised any issues or make suggestions during regular meetings held at the home or in separate discussions, and these would be listened to and carried out. Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 and 28 The home offers comfortable surroundings for service users but improvements could be made to ensure independence in accessing bedrooms. EVIDENCE: During the last inspection it was highlighted that service users who used wheel chairs would benefit from automatic door openers especially to their bedrooms, however these had not been fitted. The home provided two comfortable lounges that were pleasantly decorated and xmas decorations were being displayed including a tree that the staff were very pleased with. There was some repairs that were needed to the bathroom wall and a mirror in the shower room needed to be secured to the wall. Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 34 Staff are competent and supported to provide effective care and service users are protected by the homes recruitment policies EVIDENCE: Staff training is ongoing and further training is arranged in areas of peg feeding and epilepsy. Studies’ leading to NVQ2 in care has been undertaken by 12 of the 14 members of staff, 6 of which have also completed NVQ3 in care. Training has also been carried out in infection control and the Learning Disability Awareness Foundation course (LDAF). Recruitment to the home was carried out using the company’s corporate policy on recruitment. Staff files held at the home were examined and found to contain appropriate information and were in order. Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 The home is managed competently and capably in an open and inclusive manner. EVIDENCE: The manager has recently completed NVQ4 in care and the Registered Managers Award, enhancing her knowledge and adding to her experience in carrying out the role. Staff commented that the manager was willing to listen to suggestions and would act on issues when required to do so. The manager said an open door policy was used so that staff, service users and families could come to her at any time. Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X 3 X 3 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X 2 X 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 18 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 YA28 Good Practice Recommendations The manager should make arrangements for improved access to the gardens by wheelchair users. The manager should develop an action plan showing how magnetic door closers can be fitted to enable wheelchair users easy access and egress throughout the building. The manager should arrange for repair to the damaged wall and to securely fix the mirror in the shower room. Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Greenfields Lodge Residential Care Home DS0000021749.V267800.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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