Inspection on 06/03/07 for Greengate House

This inspection was carried out on 6th 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

Greengate House 26/02/09

Greengate House 29/03/06

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 06 March 2007 01:00 th Greengate House DS0000022404.V302411.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 Greengate House DS0000022404.V302411.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. Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greengate House Address Samuel Street Nutgrove St Helens Merseyside WA9 5LT 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.V302411.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users to Include up to 12 (MD) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 29th March 2006 Date of last inspection 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.V302411.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection visit (site visit) at the home this inspection year. The inspection was unannounced and took place over one day for a total of 6 hours. The inspection was carried out with the deputy manager. The manager was on annual leave. The Commission considers 22 standards for Care Homes for Adults (18-65) as Key Standards, which have to be inspected at least once in a 12-month period. All Key standards, which are identified in bold within the main body of the report, were inspected during this inspection. During the site visits the requirements and recommendations from the last inspection report were discussed and checked. They have all been met. A partial tour of the home was conducted. Care records and other required records were inspected, they included a selection of resident’s care plans, daily diaries, medical notes, and medication and associated records, staff rotas and certificates of health and safety checks. Two residents were “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more residents to get an idea of what is like to live at the home and how that person’s needs are being met. Prior to the site visit the commission sent out to the home a pre - inspection questionnaire. The document was completed and returned in good time. Seven residents, the deputy manager and two members of staff were spoken with during the site visit. The pre inspection questionnaire, information held by the Commission for social Care and Inspection and information gathered during the site visit, have all been used as evidence for this report. What the service does well: Information about the home is available in good detail and is given to prospective residents so that they can make a positive choice about where they choose to live. The service has procedures in place, which aim to ensure that prospective residents needs are fully assessed so that the home can be sure of meeting the person’s needs. The service works in partnership with residents to develop a care plan, which clearly sets out how, they need to be supported so that they can live the kind of live that they choose safely and independently. The service puts great emphasis on personal development by identifying and setting goals with the individual, which are achievable and realistic. Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 6 Residents are supported to make choices and decisions about all aspects of their daily lives. Residents are given many opportunities and the appropriate support to enable them to live healthily and active lifestyles. Resident’s benefit from a staff team that have a good understanding of their roles and responsibilities and have the qualities and competencies required for the job. Staff receive a good level of training, which is linked to the aims, and objectives of the home and the needs of the residents. Residents are protected by the homes robust recruitment and selection procedures. The home is well managed to the benefit of residents and staff. Residents are safeguarded by the homes policies and procedures and record keeping which were detailed, up to date and accurate. A lot of positive comments were by residents about their life at the home. Below are just some examples of what was said during the inspection visits. Other comments can be found in the main body of the report. “I get up and go to bed when I choose” “I do the things I want to do” “I choose what clothes I wear” “I manage my own money, I have my own bank account” “I make all my own choices and decisions, the staff will help me if I ask” “I like living here, staff don’t get in my way, and I do my own thing” “It’s a nice place I am free to come and go as I please” “I shop for all my own food” “Staff help me to budget my money” “I sometimes cook my own meals” “I go out a lot which I like” “I manage all my own money” “I enjoy reading and listening to music in my room “I go to church every Sunday” “I go to a coffee morning once a week” “I cook some of my own meals” I go out when I want and to the places I want to go” “My family visits each week” “The food is always nice” “I trust the staff to do their jobs well” “The manager is very good at her job” What has improved since the last inspection? Since the last inspection improvements have been made to a bathroom giving it a more homely and comfortable feel. The practice for collecting waste food following meal times is more dignified. Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 7 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 DS0000022404.V302411.R01.S.doc Version 5.2 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.V302411.R01.S.doc Version 5.2 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 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Prospective residents are given information about the home and their needs are assessed so that they choose a home, which is right for them. EVIDENCE: A selection of resident’s personal files was looked at. They contained a copy of the homes service user guide and statement of purpose. The booklet provides details about the services and facilities available at the home. The management structure and staff details are also contained within the document. One service user said that he was given this information before moving into the home. Files, which were looked at, contained prospective residents, need assessment, which the service carry out prior to admission. The assessments were comprehensive and detailed what support residents need and what tasks they can do for themselves. Information about past medical and psychological health was also available in good detail. The files also contained pre admission information from other sources such as social services, which also help the service build up a picture of a residents needs before they move in. Multi disciplinary assessments are also included which gives opinions on the care needed by other health professionals. Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 10 Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 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 & 9 The quality outcome in this area is excellent. This judgement has been made using available evidence including a site visit. Residents make choices and decisions and take responsible risks as part of an independent lifestyle. EVIDENCE: Each person has a care plan. A selection of plans was looked at during the visit. The plans, which were very well written and presented, covered all aspects of the person’s personal and social support and healthcare needs such as, communication, medication, behaviour management, risk management and financial support. The service involve service user in developing their own care plan which clearly sets out how they need to be supported to live the kind of live that they choose safely and independently. Care plans clearly identified goals, which have been agreed and set with the resident’s full involvement. Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 12 There was evidence that the plans are regularly reviewed and updated. Staff explained that each part of the plan is reviewed each month with the involvement of the resident/representative, manager and key workers. Following the review a monthly monitoring document is completed and identifies any changes made to the plan. Records that were seen evidenced this. Residents showed a good understanding of their plans of care and said that they were involved in developing and reviewing them. This was supported by the following comments made by residents: “I helped put together my care plan and signed it” “It tells staff about me and how I want to live my Life “I meet with staff every month and talk about my care plan” “It has all the information about me and the things I like to do” During discussion staff explained in good detail the purpose of care plans and how they use them on a daily basis to support residents. Daily records are kept for each person, they were looked at as part of the case tracking process. They showed that staff support residents in accordance to their individual plan of care. Residents spoken with said that they make every day decisions and choices about all aspects of their lives. The following comments made by residents supported this: “I get up and go to bed when I choose” “I do the things I want to do” “I choose what clothes I wear” “I manage my own money, I have my own bank account” “I make all my own choices and decisions, the staff will help me if I ask” “I like living here, staff don’t get in my way, and I do my own thing” “It’s a nice place I am free to come and go as I please” For safety reasons there are certain restrictions placed on residents for example, use of keys, access without support to certain parts of the home and the community, management of money and medication. There are also instances when some decisions and choices have to be made for residents by others. Restrictions placed upon people and choices, which need to be made by others and the reasons why, were recorded in each person’s plan of care. Risk assessments were part of each persons care plan. They have been carried out for tasks and activities which residents are involved in that are likely to pose a risk to them. Risk assessments that were seen identified potential risks and hazards and detailed the action that staff need to take so that residents are able to take risks safely as part of an independent lifestyle. Risk assessments that were viewed showed that they have recently been reviewed and updated. Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 13 Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 14 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): 12, 13 15, 16 & 17 The quality outcome in this area is excellent. This judgement has been made using available evidence including a site visit. The service support residents to maintain appropriate and fulfilling lifestyles in and outside of the home. EVIDENCE: Since the last inspection the home have introduced a team of Support Time and Recovering (STAR) workers. STAR workers are in addition to the team of care/support workers. Their role is to develop and support rehabilitation programmes in partnership with residents. The programmes are designed around the individual and aim to help re build their confidence as well as supporting them to learn and develop new skills in preparation for moving on to independent living. A number of rehabilitation programmes were looked at and covered such tasks and activities as cooking, cleaning, social inclusion and education. Care plans, which were looked at, contained a lot of information about the persons preferred lifestyles and any help that they need. Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 15 Discussion with a number of residents showed that they are given many opportunities for personal development and are encouraged and supported to live the kinds of live that they choose. Comments made during the visit to support this included: “I shop for all my own food” “Staff help me to budget my money” “I sometimes cook my own meals” “I go out a lot which I like” “I manage all my own money” “I enjoy reading and listening to music in my room “I go to church every Sunday” “I go to a coffee morning once a week” “I cook some of my own meals” I go out when I want and to the places I want to go” “My family visits each week” “We play prize bingo a couple of times a week” “I go to the library” “I go on coach trips to local markets and shopping centres” “I have been to the Glass museum and am looking forward to going to other museums” “I go cycling” “I visit my dad each week” “I am hoping to go back to work, staff are supporting me with this” Residents have regular contact with their family and friends. Each persons care plan had information about important personal and family relationships and how staff need to support them. Discussion with residents showed that their family and friends are welcomed at the home at any time. Residents are encouraged to take part in routines at the home as part of an independent lifestyle. For example helping to keep their bedrooms and other shared parts of the home clean and tidy. One resident provided a tour of the laundry room and said that he attends to all his own laundry. Residents spoken with said that they have a key to their rooms and the front door. There are a number of residents that don’t have their own keys this is because assessments show this as not being safe for the person. Restrictions such as this and are recorded in the persons care plan and agreed by the appropriate people. Residents are encouraged not enter each other’s bedrooms unless they are invited. Staff were seen knocking before entering residents bedrooms. Each unit has a small fitted kitchen were residents can make snacks and drinks when they want. Residents were seen using the kitchens during the inspection. The main kitchen and dining area are situated centrally to each unit. The dining room was furnished with several small dining sets, which were attractively set. Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 16 One resident said “I can eat in my room if I want” another resident said, “I don’t have to eat at a set time”. The kitchen was bright and clean and equipped with domestic style appliances such as a microwave, fridge and freezer. There was plenty of cutlery, pans, cups and dishes, which were in good condition. Food stores were examined. There was also plenty of fresh, frozen and dries food at the home. A fourweek menu is operated at the home. Copies of the menu were seen. They were varied and healthy in content. A white board, which was displayed on a wall in the dining room, clearly described the menu of the day. It showed a choice of both hot and cold food. One resident said,” the meals for the day are always written on the board” Residents spoken with were complimentary of the food at the home. They made the following comments, which supported this: “The food is always nice” “Can’t complain about the food” “We always have a choice” “We get plenty to eat” The evening meal was observed. There were a variety of meals available. Residents were served with the meal of their choice. A number of residents said that they had ordered their choice of meal earlier in the day. Meals were generous in portion and well presented. One resident explained that she was on a healthy eating programme and staff were supporting her with this. A recommendation was given as part of the last inspection to dispose of waste food following meals in more discreet and dignified way. Since the last inspection Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 17 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, 19 & 20 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The service provide residents with the appropriate personal and healthcare support EVIDENCE: Each of the residents care plan had information about bout routines and the type and level of personal and healthcare support that they need. Residents are encouraged to carry out their own personal care were possible. Case tracking showed that residents are given support in accordance with their plan of care. Staff spoken with showed a good understanding of the main principles of privacy, dignity and independence. The following comments made by staff supported this: “I encourage residents to carry out their own personal care” “I make sure doors are shut “ “I always knock before entering residents bedrooms and bathrooms that they are using” “It is important to talk politely to residents” Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 18 During the inspection the staff were seen treating residents with respect, they spoke to them in a polite way and responded to them positively. Residents spoken with said that staff are always polite and show them respect. They made the following comments to support this: “Staff talk to me politely” “Staff always knock on my door” “All the staff are kind and respectful” Each of the residents care plan had a section about their healthcare needs and information detailing how best to support them. Records within this section showed that residents are offered minimum annual checks and that there general and mental health is regularly reviewed and appropriately monitored and acted upon. Information given in the pre-inspection questionaire and records that were looked at showed during the visit that residents are registered with a local GP and use other healthcare services in the local community. A selection of medication and medication administration records were examined. Medication was stored securly and records were well kept. Details provided with the pre- inspection questionaire showed that the home has available policies and procedures for the safe handling and administration of medication. Medication is only administered by staff that have completed medication awareness training. Records that were seen evidenced this. The home has a self medicating policy. The policy provides staff with clear guidance on how to support people to self medicate safely. There are a number of residents that are encouraged and supported to take their own medication. Examination of records and discussion with residents showed that this is done in a stages and at a pace agreed by them. Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 19 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 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The service has in place and makes available policies and procedures for responding to concerns and complaints and for ensuring the residents are safe from abuse or neglect. EVIDENCE: There has been no complaints received by the Commission about the home since the last inspection. Information provided in the pre-inspection questionnaire and discussion with showed that there have been no complaints made at the home in the last 12 months. There was a complaints procedure on display at the home. the complaints procedures is also summarised in the homes statement of purpose and resident guide. Residents spoken with said that they had no concerns or complaints about the service and if they did would tell someone. Comments made by residents included: “I am not worried about anything, if I was I would tell somebody” “I know who to complain to if I needed to” I have information about how to complain” “I know someone would listen to me and do somethoing if I was unhappy” Staff spoken with said that would complain if needed to. The following comments supported this: “I know about the complaints procedure, I would complain if I needed to” “I would definitly complain if I needed to” Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 20 “I am confidient about complaining and I know it would be dealt with in the right way”. Discussion with staff and details provided in the pre-inspection questionaire showed that staff have received protection of vulnerable adults training. During discussion staff ahowed a good understanding about what they need to do if they witnessed or suspected abuse of a resident. A copy of the local authorities protection of vulnerable adults procedure was avaialbe at the home. Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 21 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 & 30 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The environment meets the needs of residents and is accessible to community facilities and services, as well as being homely clean safe and comfortable. EVIDENCE: Greengate House is located in a residential area in Nutgrove, St Helens. The home which is purpose built provides a good amount of living space. The home is divided into three separate ‘units’. Each unit is made up of four single bedrooms a bathroom, separate toilet and a combined lounge/kitchen. The home has a number of other shared spaces, which are located close to all units. They include the main lounge/dining room, a small sitting room and a newly built conservatory, which looks onto the back garden. The conservatory is the designated smoking area for residents. Residents occupied all parts of the home at intervals throughout the inspection visit. There is a large garden to the rear of the house, which is easily accessible to residents. The garden is planted out with a variety of mature trees, shrubs and plants. A number of residents said that they enjoy spending time relaxing in the garden. Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 22 The pre-inspection questionnaire detailed a number of improvements, which have been carried out to the inside of the house since the last inspection. They include the refurbishment of the rehabilitation kitchen, the redecoration of the main lounge/dining area and the replacement of flooring in both areas. All improvements have been carried out to a high standard. Residents made the following comments: “ I like the new floor and the colours on the walls” “We were asked to help choose the colours for the walls” During the last inspection a bathroom that was observed was clinical in appearance. It was recommended as part of the last inspection report to make it more comfortable and homely. The bathroom which was looked at during the visit displayed plants, pictures and has been fitted with a new shower curtain making it look much more homely and comfortable. All other parts of the home were clean and tidy at the time of the visit. Detailed in the pre-inspection questionnaire and available at the home were a number of policies and procedures, which aim to ensure a clean and safe environment, they include infection control and disposal of soiled waste. Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 23 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, 34 & 35 The quality outcome in this area is excellent. This judgement has been made using available evidence including a site visit. The staff team have the qualities, qualifications and training, which meet the stated purpose of the home and the assessed needs of the people who live there. EVIDENCE: Two members of staff were interviewed during the inspection. They showed a good understanding of their roles and responsibilities and were very knowledgeable about the needs of the residents. Both staff said that they were given a copy of their job descriptions at the start of their employment. Residents spoken were confident about the staffs ability to do their jobs. They made the following comments, which supported this: “All the staff is good at their jobs” “The staff know what they are doing” “I trust the staff to do their jobs well” Available at the home was evidence to show that staff complete training to update their knowledge and skills and that the training is linked to the aims and objectives of the home and the needs of the residents. Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 24 Staff spoken with said that they have completed a lot of training and gave the following examples, mental heath awareness, Protection of vulnerable adults, health and safety equality and diversity and food hygiene. Training and development records which were looked at for a number of staff were very detailed and showed that staff receive a good level of training which is well recorded, monitored and supported by the management team. The pre-inspection questionnaire and staff training records held at the home evidenced that at least half of the staff team have achieved or are currently undertaking a National Vocational Qualification in care level 2 or above. Staff made the following comments about training: “I have completed a lot of training” “The training is very good” “I enjoy the training” “The manager talks to me about the courses that I have attended” Staff personnel files were locked away by the manager therefore the homes recruitment and selection procedures could not be fully assessed on this occasion. However, discussion with a new member of staff evidenced that strict processes were followed before they were allowed to start work at the home. The member of staff confirmed the following “I completed an application form” “The manager interviewed me” “I wasn’t allowed to start work without references and a CRB check” “I was put on an induction training programme as soon as I started work” Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 25 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, 39 & 42 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Residents and staff benefit from a home that is well managed. EVIDENCE: In February 2006 Susan Lucas was approved by the Commission as the Registered Manager of Greengate House. 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. The manager was not on duty at the time of this inspection visit, however during previous inspections she has demonstrated a good understanding of her role and responsibilities as manager and a high commitment to the organisation, the residents and staff. Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 26 The inspection visit was carried out with the deputy manager. He was very helpful and showed a good knowledge of residents and their needs. Information detailed in the pre-inspection questionnaire and examination of a selection of records during the inspection showed that records required by regulation are available, up to date and accurate. Staff spoken with were complimentary of the manager and the way she runs the home, the following comments made by staff supported this: “The manager is supportive and approachable” “The manager is dedicated” “The manager has an open door policy” “The manager is very good at her job” The health safety and welfare of residents are well protected this was supported by a comprehensive set of policies and procedures, which were detailed in the pre-inspection questionnaire and available at the home. Information provided in the pre-inspection questionnaire and examination of a selection of health and safety records showed that the required health and safety checks have been carried out on the environment at the required intervals, for example fire system checks, gas and electricity checks and environmental risk assessments. Staff and residents spoken with confirmed that they hear the fire alarm system regularly being tested. Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 27 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 3 2 4 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 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 28 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations Greengate House DS0000022404.V302411.R01.S.doc Version 5.2 Page 29 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. 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