Inspection on 21/03/07 for Greenfields Lodge Residential Care Home

This inspection was carried out on 21st March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Greenfields Lodge Residential... 27/01/09

Greenfields Lodge Residential... 19/12/05

Greenfields Lodge Residential... 02/08/05

Greenfields Lodge Residential... 08/12/04

Greenfields Lodge Residential... 25/06/04

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

CARE HOME ADULTS 18-65 Greenfields Lodge Residential Care Home 152a Stockton Road Hartlepool TS25 5BQ Lead Inspector Mr Leonard Hird Unannounced Inspection 21st March 2007 10:00 Greenfields Lodge Residential Care Home DS0000021749.V329644.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 Greenfields Lodge Residential Care Home DS0000021749.V329644.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. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 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 londonroad@tiscali.co.uk 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.V329644.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th December 2005 Brief Description of the Service: Greenfields Lodge is a modern, purpose built single storey Residential Care Home set in its own grounds and provides residential care services for up to 10 adults in the Category of Learning Disability (LD). Currently accommodation is offered on a short break basis rather than permanent occupancy. The home is located in a residential part of Hartlepool and in easy reach of the town centre and its amenities. The accommodation at Greenfields Lodge comprises of 10 fully furnished single en-suite bedrooms, communal bathrooms, toilets, a large kitchen, two lounges dining room, snoozelium, staff sleep over room and office space. The home’s garden areas were fully enclosed and accessible to wheelchair users. There are car parking spaces for visitors and staff to the side and rear of the home. Greenfields Lodge is part of a large group of homes owned by Milbury Care Services Limited and managed on their behalf by the Registered Manager Mrs Angela Robertson. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection of Greenfields Lodge Residential Care Home took place on 21 March between 1000 and 1400 hrs and 22 March between 1530 and 1730 hrs. The inspection process considered all of the Key standard areas as identified by the Commission for Social Care Inspection within the Care Homes for Adults(18-65) National Minimum Standards. These Key standards are: Choice of Home (NMS2), Individual Needs and Choices (NMS 6,7 and 9), Lifestyle (NMS 12, 13, 15, 16 and 17) Personal and Healthcare Support (NMS 18, 19 and 20), Concerns Complaints and Protection (NMS 22 and 23), Environment (NMS24 and 30) Staffing (NMS 32, 34, 35) Conduct and Management of the Home (NMS 37, 39 and 42). Comments were received from Residents, the deputy manager, and members of the care staff team. What the service does well: What has improved since the last inspection? What they could do better: The home should review its policies and procedures in relation to beds with cot sides and how medication is received into the home from non health sources. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 6 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. Greenfields Lodge Residential Care Home DS0000021749.V329644.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 Greenfields Lodge Residential Care Home DS0000021749.V329644.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): NMS2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The Registered Manager at Greenfields Lodge had ensured that prior to the admission of a resident to the home the local authorities social care and health team and the home had carried out a full assessment of needs. EVIDENCE: From a review of individual residents care plans and files it was noted that a full assessment of needs had been carried out prior to admission. The local authorities social care and health team and the home had carried out these assessments of need. Residents and where appropriate their representatives had signed the assessment documentation. From these assessments of needs, the home had in conjunction with the resident been able to develop a care plan that took account of their needs and aspirations. Greenfields Lodge Residential Care Home DS0000021749.V329644.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): NMS 6,7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The system for care planning in the home was satisfactory and provided staff with enough information to assist them to meet the complex needs of the many users of the service. Residents were actively encouraged and supported to participate in the decision-making and risk taking process affecting their lives. Residents were well supported by the home and were enabled to use independent advocates when necessary. EVIDENCE: Each of the 60 people who used the 10 short- term residential places at the home had a care plan in place. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 10 The plan contained information about, their physical and specialist needs as well as their personal and social well-being Residents care plans were reviewed on a regular basis at the home by the care staff and records were maintained of this. The local authorities social care and health team annually reviewed the residents care plan. Records were maintained of the daily life of the individual resident within the home and included information on the various activities the resident had taken part in. Greenfields Lodge Residential Care Home DS0000021749.V329644.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): NMS12,13,15,16 and17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The routines of daily living and activities happening at Greenfields Lodge were varied, flexible and meeting the needs of the residents. The independence and personal choices of residents were actively promoted by the home. The dietary needs of residents were catered for with a balanced selection of home cooked food being provided. EVIDENCE: Residents had planned programs of activities that had been developed to take account of their needs. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 12 Activities were arranged for the individual resident or the group as a whole by the home but residents could arrange their own activities, if they wanted to. If residents didnt want to take part any activity they didnt need to and staffing levels enabled this to happen. A resident said that, ‘they were looking forward to going to Lourdes on the coach in the near future with their church group and they liked their member of staff from the home who was going with them as a carer . Residents attended a day placement where they engaged in activities with their peer groups. Greenfields Lodge had an open visitors policy in place. There were residents meetings taking place that enabled residents to influence decisions being made in the home e.g. choice of menus and choice of activity. A resident spoken with commented that, ‘the food was spot on, and what they liked to eat’ another said that they, ‘liked to order in a take-away and the odd glass of wine as a treat when they came to stay’ The menus at the home took account of the likes and dislikes of the residents but kept to a healthy eating programme, wherever possible. Greenfields Lodge Residential Care Home DS0000021749.V329644.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): NMS18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The health needs of residents were well met with evidence of good multidisciplinary working regularly taking place. No resident currently self-administered medication. EVIDENCE: A review of residents care plans confirmed that residents were receiving support and advice from the appropriate health professionals when necessary. Individual residents care plans included detailed information about the involvement of doctors, dentists and other healthcare professionals. The home had appropriate policies and procedures on how to safely administer medication to residents for staff to refer to. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 14 Staff involved in the administration of medication had undergone an appropriate course in the Safe Handling and Administration of Medication. Records of this training and first aid training were been maintained on the individual members of staffs personnel file. The home had a policy and procedure in place regarding how residents’ medication was received and documented into the home from a recognised professional source. It must, however, ensure that a procedure is developed to take account of medication received and documented from a non-professionally recognised source. The home had a number of beds with cot sides fitted and there needs to be a review of the homes policy and procedure relating to the use of these cot sided beds. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 15 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): NMS 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There was an easy to read and suitable complaints procedure in place at Greenfields Lodge and residents indicated that they felt confident that they could approach staff at any time with any problem they had. Greenfields Lodge had an appropriate procedure for handling suspected cases of abuse available in the home and staff had received training in this area. EVIDENCE: Greenfields Lodge is part of a large corporate group (Milbury Care Services Limited) that provides different types of residential care through out the NE region and there were simple and appropriate corporate policies and procedure in place. As a result of this complaints were handled according to the companies complaints procedure. A copy of this easily read document was available, at the home. No recent complaints had been made. Discussions with residents confirmed that if any problems arose then staff would deal with them. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 16 One resident spoken with commented, they knew whom to complain to if they needed to’. The company’s corporate procedures for handling suspected adult abuse were available in the home. Staff had received training on how to deal with the Protection of Vulnerable Adults and records were being maintained of this training. In discussions with staff they confirmed that they were fully aware of the importance of acting quickly in cases of suspected abuse and that they would follow the homes policy and procedures if necessary. There had been no recent adult protection issues in the home. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 17 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): NMS 24 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Greenfields Lodge was clean, pleasant and hygienic and provided a safe, homely and comfortable environment for its residents to live in. EVIDENCE: Greenfields Lodge was clean, tidy and free from unpleasant odours. Individual residents rooms had been decorated and furnished in a pleasant and homely manner. Greenfields Lodge was well decorated, furnished and maintained. Maintenance work undertaken on the homes equipment and facilities had been recorded appropriately. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 18 There were appropriate systems in place for infection control. The homes infection control policies and procedures were written in accordance with relevant legislation and professional guidance. It was confirmed by staff that they had received appropriate training in infection control and a record of this had been kept on their personnel file. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 19 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): NMS 32, 34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Greenfields Lodge through its recruitment, employment and training procedures had ensured that only suitably qualified staff were employed. Staffing levels at the home were meeting the current needs of the residents. EVIDENCE: The Registered Manager had the required qualifications and experience to run the home. From a review of the staff rota it was seen that staff were deployed in sufficient numbers as to ensure the needs of the residents were met. There was a commitment to training for all staff at the home and currently over 75 of the homes care staff was qualified at NVQ level 2 or above. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 20 The home tried wherever possible for staffing stability to ensure that the same members of staff worked in the home. Staff who had recently been employed had received appropriate induction training. There was a rolling training programme operating in the home that provided training for staff in moving and handling, first aid training and the Protection of Vulnerable Adults. Records of training undertaken and completed by staff were kept on the individual members of staffs personnel file. All staff employed at the home had being recruited in accordance with the homes corporate policies procedures. All of the appropriate employment checks prior to starting to work at the home had been undertaken and recorded accordingly. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 21 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): NMS 37, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Greenfields Lodge had in place, a variety of quality assurance systems, including residents meetings to enable them to express their views. Greenfields Lodge actively promotes the health, safety, protection and welfare of the residents. EVIDENCE: Records of staff supervision sessions were kept securely and staff confirmed that they had received copies. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 22 There were regular staff meetings being held to enable the staff group to develop their professional roles. Staff confirmed that they were aware of the management structure within the home and the company. Records were kept of the home’s fire checks and health and safety checks when they had been appropriately completed. A senior manager in the company carried out monthly Regulation 26 visits and records were kept of these visits. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 23 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 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 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 24 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. Refer to Standard YA19 Good Practice Recommendations The home should review its policies and procedures in relation to beds with cot sides and how medication is received into the home from a non health recognised source. Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Greenfields Lodge Residential Care Home DS0000021749.V329644.R01.S.doc Version 5.2 Page 26 - 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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