Inspection on 19/08/05 for Greengate House

This inspection was carried out on 19th August 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.

Other inspections for this house

Greengate House 26/02/09

Greengate House 06/03/07

Greengate House 29/03/06

Greengate House 09/11/04

Greengate House 27/05/04

Greengate House 15/03/04

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

CARE HOME ADULTS 18-65 Greengate House Samuel Street Nutgrove St Helens WA9 5LT Lead Inspector Janet Marshall Unannounced 19 August 2005 th 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 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 Stationary 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. Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Greengate House Address Samuel Street Nutgrove St Helens WA9 5LT 01744 850029 01744 850029 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Making Space Mrs Karen Daley PC - Care Home Only 12 Category(ies) of MD - Mental Disorder - 12 registration, with number of places Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1.Service Users to Include up to 12 (MD). Date of last inspection 9th November 2004 Brief Description of the Service: Greengate House is a purpose built home located in the St Helens area of Liverpool. The home accommodates up to 12 service users under the category of mental disorder.The home is close to local amenities and road links. The home is situated on two levels and has small units which offer service user accommodation. The home has a large garden to the rear of the home.The home is managed by ‘Making Space’, which is a registered charity that offers support to service users who are suffering with schizophrenia or other mental illnesses. The home’s registered manager is Karen Daley. The home has similar establishments in the local areas. Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspection visits are required at the home each year, this was the first. There has been no cause for any visits to the home since the last routine inspection in November 2004. The inspection was unannounced and took place over four hours. The requirements and recommendations from the last inspection report were discussed and checked with the manager. A partial tour of the home was conducted. Care records and other required records were inspected. Records that were examined included residents care plans, daily diaries, medical notes, medication sheets, staff rotas and records of health and safety checks. There were a number of residents at home at the time of the visit, their views about the home were obtained during discussion with them. They all expressed their satisfaction with all aspects of the home. The care files of two residents were ‘case tracked’. Case tracking means that the inspector concentrates on the care given and experiences of one or more residents to ensure that the persons needs are recorded in their care plan and are being met. What the service does well: What has improved since the last inspection? All medications with variable doses are now correctly documented. All controlled drugs are signed in and out by two members of staff who have received appropriate training. Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 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. Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 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 standard(s) 1 & 2 A good information pack is available at the home so that prospective residents can make an informed choice about living there. There was a good standard of assessments enabling the home to be sure of meeting residents care needs. EVIDENCE: An information pack about the home was available in the office, copies of it were also displayed in communal areas of the home. It includes very good information about the home for existing and prospective residents. Care records seen contained assessment details completed by the home. The assessments contained information gained prior to admission and included further professional assessments by social workers and other community care professionals. Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 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 standard(s) 6, 9 & 10 The service provides very good care plans for all residents, which are reviewed and updated regularly to ensure that changing needs are met. Residents care plans reflect they are encouraged to take responsible risks in their lives, which are safe and effective. Information about residents was stored securely to ensure that their confidences are kept. EVIDENCE: A detailed Care Plan was available for each resident. The plans seen include a great deal of information about individuals abilities, routines, likes and dislikes, medical and personal care. They are well written and include a good amount of information, which enable staff to meet each persons needs. Care plans seen showed that regular reviews take place ensuring that changing needs are identified and met. Case tracking showed that residents needs are recorded in their care plan and are being met. Residents said that they are encouraged and supported to take part in aspects of live in the home in accordance to their abilities, needs and wishes. This was supported by information recorded in those residents care files that were seen. Risk assessments that were viewed for some residents showed that they have Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 Page 10 been reviewed and updated since the last inspection ensuring that residents continue to take responsible risks. Care plans for all residents were kept securely in the office. Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 & 17 Residents take part in a variety of activities both at home and in the local community, which are appropriate to their needs and wishes. Relationships are encouraged so that residents maintain contact with family and friends. Residents are encouraged to eat food that is healthy and enjoyable. EVIDENCE: Records seen and discussion with staff showed that many opportunities are provided for residents to take part in activities of their choice. Residents said that they shop for personal items as well as things for the home. Daily diaries and timetables viewed in resident’s care files showed that they are involved in a varied programme of activities, residents are supported in the home and the community to take part in various activities based on their needs, wishes and preferences. The records seen also showed that residents are supported and encouraged to develop and maintain contact with family and friends. There was plenty of fresh, tinned and frozen foods kept at the home. Residents spoken with said that they are involved in choosing what food they eat and in planning menus. Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 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 standard(s) 19 & 20 Resident’s health care is well recorded and monitored to ensure that their health care needs are met. Medication was stored appropriately and records were well kept to ensure the protection of residents. EVIDENCE: Records seen show that the health care needs of residents are recorded in good detail they are well kept and up to date, they also show that residents are supported to attend regular healthcare appointments. Care files seen showed that the changing healthcare needs of residents are well documented. Other information in those care files show that the home involved other care professionals to support residents with specialist health care needs. Medication was in date and stored in a locked cabinet in the office. At this inspection records seen showed that medication was signed for when administered. Items of unused or unwanted medication are returned to the pharmacist a record of this is kept at the home. Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 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 standard(s) Not assessed on this occasion. EVIDENCE: Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 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 standard(s) 24 & 30 The home was clean, tidy and maintained to a good standard providing a comfortable and safe environment for the people who live there. Cleaning timetables and routines were in place to ensure that a high standard of cleanliness and hygiene is maintained at all times. EVIDENCE: The inside of the home was nicely decorated, well lit and ventilated. The outside of the home was attractive and well maintained. Pictures, photographs and other items chosen by residents were displayed around the home. The home provides both private and shared communal spaces for the use of all residents. Residents were observed using all communal areas of the home. Residents spoken with said that they are happy with all aspects of the home. Keeping the house clean and hygienic is important to residents and staff this showed by how clean the house was. A member of staff said that residents are encouraged to help around the house, residents ability and level of involvement is recorded in their care plans. Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 & 35 Staff have completed the required training, which enables them to meet the needs of residents. EVIDENCE: Staff rotas showed that sufficient numbers of staff are on duty throughout the day and night. A selection of staff files were examined they showed that that the home had undertaken all the necessary recruitment checks to ensure protection of residents. Protection of Vulnerable Adults (POVA) checks and Criminal Records Bureau checks were available for those staff. Records seen and discussion with staff showed that for the first part of their employment they are involved in Induction and Foundation Training and that they undertake mandatory and training specific to the needs of residents at the required intervals. Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 41 & 42 The manager of the home is positive, approachable and inclusive benefiting both residents and staff. The required Health and Safety checks have been carried out which ensures the safety of residents and staff. The homes Policies and Procedures protect the health, safety and welfare of the residents and staff. EVIDENCE: Staff said that the manager is very approachable and supportive of both residents and staff, the manager was also described by staff as being positive and inclusive. A member of staff said that they have completed health and safety training. Certificates also showed this. A detailed health and safety manual was available at the home. The manual included certificates of safety checks and details of tests carried out on the environment. The homes records that were seen were well kept and up to date. All the required health and safety policies and procedures were Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 Page 17 available in the homes handbook, they showed that they are reviewed and updated at regular intervals. Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 Page 18 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 3 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 x x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Greengate House Score x 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 3 x F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 Page 19 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. 1. 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 Good Practice Recommendations Greengate House F53 F03 Greengate House S22404 V245857 19.08.05 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Burlington House, 2nd Floor, South Wing Crosby Road North Liverpool L22 0LG 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. 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