Inspection on 29/03/06 for Greengate House

This inspection was carried out on 29th March 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 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 19/08/05

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 Merseyside WA9 5LT Lead Inspector Mrs Janet Marshall Unannounced Inspection 29th March 2006 09:30 Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 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 Greengate House DS0000022404.V281287.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 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. Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Greengate House Address Samuel Street Nutgrove St Helens Merseyside WA9 5LT 01744 850029 01744 850029 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) Making Space Susan Lucas Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users to Include up to 12 (MD) Date of last inspection 19th August 2005 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 homes registered manager is Susan Lucas. The home has similar establishments in the local areas. Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two inspection visits that are required at the home each year. The inspection was unannounced and took place over 3 hours. The inspection was conducted with the manager Susan Lucas. There were no requirements raised as part of the last inspection report. A partial tour of the home was conducted. Care records and other required records were inspected. Records that were examined included a selection of residents care plans, daily notes, medical notes, financial records and certificates of health and safety checks. Most part of the inspection was spent in discussion with residents their direct views about their experiences at the home were obtained. Evidence for this report was also gathered through general observations and compliance with standards. At intervals throughout the inspection discussion with staff took place. Their comments and views about the home were also obtained. 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: The atmosphere in the home was comfortable, relaxed and friendly. Each resident had a care plan which were excellent. Residents assessed needs were clearly reflected in their individual plans of care. Regular reviewing and updating of the plans ensure that residents care needs are consistently met and that changing needs are identified. The service is good at promoting independence for residents by encouraging them to make choices and take control over their own lives. The service is good at providing residents with information about advocacy services and providing them with the appropriate support and assistance so that their rights and responsibilities are respected & upheld. Robust procedures are in place to enable residents to complain and to protect them from abuse. In the main the home is maintained to a high standard ensuring that residents live in a safe, comfortable and homely environment. Residents benefit from a manager and staff team who are fully committed to their welfare and wellbeing. Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 6 The service is good at obtaining and acting upon residents views about the home. Comments made by residents during the inspection: “I go to bed and get up when I want” “If I don’t like what is on the menu I ask for something that I do like and I get it” “I can go out and come in when I choose” “I decide what I want to wear each day” “Everything is ok, a good home” “I am very happy with my room” “I have more than enough furniture” “My room is very comfortable, I have everything that I need” “I like living here” “All the staff are very good” “I have nothing to complain about” What has improved since the last inspection? What they could do better: It is recommended that the bathroom in the home, which appears clinical, be improved to give it a more homely feel. A more appropriate method should be used for the collection of waste food following meal times. Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 7 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 DS0000022404.V281287.R01.S.doc Version 5.1 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 Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&5 Key Standard 2 was examined at the last inspection and was met. Full and proper assessments are carried out prior to admission of residents to ensure that the home is able to meet their needs. All residents have a contract so benefit from having a statement of terms and conditions of their occupancy. EVIDENCE: Several new residents have been admitted to the home since the last inspection. The current procedure when choosing to live at the home is a gradual process of moving in which was discussed with and confirmed by 2 new residents. Before moving in, they had a process of visits to the home to view it, to meet other residents, to join a meal and to stay overnight. Records seen confirmed this. Assessments of both residents were detailed and informative. One resident case tracked said, of moving into the home, “ I was allowed to bring my own belongings which make me feel more at home. Residents have been provided with a contract/statement of terms and conditions. The contracts are available in resident’s individual files. They set out the services and facilities offered by the home, terms and conditions of occupancy, fees, rights and responsibilities of parties and other issues as outlined in the National Minimum Standards. Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 10 Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6&7 Key Standards 6, 7 & 9 were assessed at the last inspection and were met. The service provides excellent care plans for all residents, which are reviewed and updated regularly to ensure that changing needs are met. Residents are encouraged to make decisions with the assistance that they need. EVIDENCE: A detailed Care Plan was available for each resident. The plans include a great deal of information about individuals abilities, routines, likes and dislikes, medical and personal care. They were very well written and include a good amount of information, which enable staff to meet each persons needs. Records showed that regular reviews take place ensuring that changing needs are identified and met. The manager said residents are supported and encouraged to take part in aspects of live in the home in accordance to their ability and understanding. Details of their ability and support required were well recorded in their plans of care. Through discussion and observation it was evident that staff respect resident’s rights to make decisions. Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 12 Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were fully assessed on this occasion. All the Key Standards were assessed during the last inspection and were met. Food is not disposed of in a discreet manner following mealtimes. EVIDENCE: Following lunch the clearing away of waste food took place in the main lounge/dining room using plastic containers. A more appropriate method should be used for the collection of waste food following meal times. This practice should be carried out more discreetly away from the residents to ensure their respect and dignity. This was discussed with the manager who said that she would take action to ensure that this practice no longer continues. Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 14 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): 18. Key Standards 19 & 20 were assessed at the last inspection and were met. Personal support is carried out in a sensitive and flexible way to ensure the privacy and dignity of residents at all times. EVIDENCE: Residents confirmed that staff provide personal support in a sensitive and flexible way. Staff were seen knocking on bedroom doors before entering. The service maintains detailed records of every contact that each resident has with medical and health care professionals. In addition to this, detailed information of the health care agencies involved have been recorded for each resident in their individual plans of care. These records show that all residents receive appropriate health care at the required intervals with the support that they need. Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Residents are protected from abuse by the home’s policies and procedures. EVIDENCE: A complaints procedure was viewed at the home. The procedure includes details about the action and timescales involved in the process, and it also included details of the Commission for Social Care and Inspection (CSCI). Records sent to the Commission show that the home have received a complaint since the last inspection. This was dealt with by the home promptly and appropriately. Information about advocacy services was displayed on a notice board in the office. The home has robust procedures for responding to suspicion or evidence of abuse or neglect. They include a Whistle Blowing procedure and the Local Authorities Protection of Vulnerable Adult procedure (POVA). The homes complaints procedure gives details of the Commission as a contact for residents, their families and staff if they wish to raise any concerns or for advice. No complaints or allegations of abuse have been made to the Commission. Physical and verbal aggression by one resident is understood and well documented. The necessary procedures are in place to ensure their safety. Records show that staff have undertaken training, which helps them understand and manage behavioural issues as well as protecting residents from abuse or neglect. One member of staff confirmed her understanding of the home complaints and POVA procedures. Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 16 Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 & 28 Key Standards 24 & 30 were assessed at the last inspection and were met. Residents benefit from a choice of shared spaces, which supplement individual rooms. EVIDENCE: A conservatory has recently been erected at the home. The room supplements a number of other shared spaces that are evenly situated around the home. Communal areas include a large lounge and dinning area, which is close to the main kitchen, a small sitting room and small lounges with kitchens linked to each unit. On the day of the inspection residents were seen using communal areas of the home. One resident was receiving visitors in the privacy of a small sitting room on the ground floor. There are sufficient bathrooms and toilets that are fitted with override locks, situated around the home. A bathroom that was observed was clinical in appearance. The bathroom could be made more comfortable and homely by providing some shelves, pictures and plants. Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 18 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. Key Standards 34 & 35 were assessed at the last inspection and were met. Residents are supported by staff that are qualified and competent EVIDENCE: The staff training schedule was examined and this showed all staff have undertaken or booked all statutory training including Manual Handling, First Aid, Food Hygiene, Health & Safety, Fire Safety & Safe handling of medicines. More that 50 of the staff group have achieved NVQ Level 2 or 3 in Care. Other staff are in the process of completing NVQ qualifications. Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 19 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): 38 & 39. Key standards 37 & 42 were assessed at the last inspection and were met. The home is properly conducted by a manager who is experienced, qualified and competent. Residents views about the home are obtained and acted upon. EVIDENCE: In February 2006 Susan Lucas was approved by the Commission as the Registered Manager of Greengate House. An up to date Registration certificate has not yet been issued by CSCI. Susan Lucas first became involved with ‘Making Space’ in 2000 as a Support Worker. The manager has many years experience and a number of relevant qualifications that are required to meet the stated purpose and aims and objectives of the Home. Ms Lucas has Completed NVQ Level 4 in Care and Management and has obtained the NVQ Assessors Award. Other relevant training undertaken by Ms Lucas includes Safe Handling of Medicines, Fire Safety Supervision Skills Performance, Coaching Risk Assessment and Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 20 Administration of Medication, Certificates were provided to verify these awards. During the inspection the manager showed a good level of knowledge and understanding of the residents who live at the home. Comments made by residents and staff about the manager included: “She approachable and positive” “The manager is good at her job” “You can go to her with any problem that you have and know that she will listen and help” “You can trust her” “She is very supportive” Records show that a representative for the company visits the home monthly, to interview residents and staff and inspect the premises. This is done so that the person can check records and form an opinion of the standard of care in the home and also to seek the views of the people who live there. Following the visit the representative writes a report a copy of which is sent to the Commission. Records also showed that there are a number of other quality monitoring systems in place, which take account of the views of the service users and/or their representatives. Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 21 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 3 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 3 28 3 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X 3 3 X X X X Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 22 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 Refer to Standard YA17 YA24 Good Practice Recommendations A more appropriate method must be used for the collection of waste food following meal times. The bathroom, which is clinical in appearance, should be made to look and feel more homely. Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House 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. Extracts may not be used or reproduced without the express permission of CSCI Greengate House DS0000022404.V281287.R01.S.doc Version 5.1 Page 24 - 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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