Inspection on 11/06/07 for Greenhill House - Leonard Cheshire Disability
Also see our care home review for Greenhill House - Leonard Cheshire Disability for more information
This inspection was carried out on 11th June 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
The home provides a specialist unit for adults with a physical disability. They are able to offer services for a range of disabilities. Service users coming in to the service can be assured that they will be fully assessed and only offered a place if the home can meet their needs. There remains a clear commitment from the staff team to support people living in the home, and visit it for day care, to benefit from the services and support available to them. The home endeavours to provide a range of leisure and educational opportunities. This has been extended and includes some evening and weekend sessions. Healthcare checks are done regularly and if the home were unable to meet that need an appropriate referral is made. Service users can be sure that their health is promoted and maintained where possible.The Physiotherapy department play an important role in maintaining abilities and maximising mobility. Planned and regular staff meetings now take place ensuring that staff feel consulted and informed. The trained nurse team has increased so that they are able to spend more time on the documentation necessary to deliver effective care. It also means they can work as an effective team supporting each other. People living in the home are able lead their own meetings, which should mean that they feel free to express themselves without any staff present. Information from the meetings gets passed to the Manager when she joins the end of the meeting. Mrs Ashby`s management style and clear leadership has improved many areas of life in the home which were inadequate. This has meant that over the last two key inspections the rating given by the Commission for Social Care Inspection has improved at each visit and the home is now a "Good" service. Positive comments on survey forms included: " It`s a nice place and I am happy here" " I am happy here" " The care is very good" " I like talking to my key worker because he listens to me. I think the manager is helping the home to be a happier place". " It`s a warm and welcoming place where staff are always willing to deal with any concerns we may have. They are good at encouraging our relative when they are negative, and are usually ready with some humour. I think the activities hut is excellent."
What has improved since the last inspection?
All of the areas mentioned in this section were requirements or recommendations at the inspection visit: The approach to risk management has greatly improved and has been sustained since the last visit in March 2007. Any accident/fall is checked to make sure that measures staff need to take to reduce any risk is still effective.The supervision sessions are more structured and have clear areas of strength and weakness. Training needs are also more detailed and requests honoured in most instances. Care plans are still being worked upon so that they all achieve a consistent standard but are gradually becoming a more detailed account of each person`s needs. People who live in the home are not being offered locks on their bedroom doors and "Do not disturb" signs. The staff`s response to an allegation of abuse now follows local and company procedures. The Training plan is being developed but already shows a more comprehensive content and includes some individual requests. In house training sessions for staff are to begin so that staff are better trained in the conditions of the people they are looking after. The pay phone has been moved to give people using it more privacy. The strategies for how staff should deal with challenging behaviour now show the rationale for decisions made, triggers for behaviours and if the strategies have been effective. No negative words were seen in any care documents.
What the care home could do better:
The food provided needs to be more varied, nutritious and be presented more attractively. Fresh vegetables have been requested by people who live in the home but not given. The cook needs to be informed of any special diets so that individual needs can be met. Staff and people living in and visiting the home`s knowledge of fire safety procedures such as drills needs to improve quickly. Care plans should include people`s social care needs and how staff can support them to realise those needs. The staffing levels are satisfactory but people living in the home say staff`s responsiveness to them depends upon who is on duty. This may be affecting their confidence in the staff and is going to be addressed by the Manager. There needs to be a reinforcement of the complaints procedure so that all people living in the home are aware of the process they can use.One comment on a survey form was: "The entire lounge area could be made more attractive".