Inspection on 06/02/06 for Greenhills

This inspection was carried out on 6th February 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

Greenhills 12/09/06

Greenhills 13/10/05

Greenhills 18/03/05

Greenhills 25/01/05

Greenhills 11/02/04

Greenhills 24/10/03

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Greenhills 32 St Andrews Road Bridport Dorset DT6 3BQ Lead Inspector Marion Hurley Unannounced Inspection 6th February 2006 10:00 Greenhills DS0000020469.V279199.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 Greenhills DS0000020469.V279199.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. Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Greenhills Address 32 St Andrews Road Bridport Dorset DT6 3BQ 01308 422159 01308 422159 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) Dorset Residential Homes Christopher John Stone-Stevens Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th October 2005 Brief Description of the Service: Greenhills is a registered care home that provides accommodation and specialist nursing care for 9 learning disabled people. The home is operated by Dorset Residential Homes, a registered charitable trust that operates a number of care homes in Dorset. Greenhills is located in a residential area close to the town centre of Bridport. It is a large detached property that has been carefully extended and adapted to meet the needs of service users; the home does not stand out from neighbouring properties in any way. The home has 3 floors, the main communal rooms and some bedrooms being on the ground floor, remaining bedrooms on the 1st floor and an office and storage area on the 2nd floor. Most of the service users have lived at Greenhills for a number of years and some also know each other by sharing previous accommodation. As the home is registered to provide nursing care, the home is in the charge of a qualified nurse at all times; staffing is provided throughout each 24 hour period, including ‘waking’ night staff. Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. Greenhills was assessed according to the Care Home for Adults (18-65) National Minimum Standards. The overall time spent to complete the inspection process was a total of six hours, three of which were spent at the home with one resident and staff. One resident had gone out for the day with a member of staff and others were attending Day Services in Bridport and Sherborne. During the inspection records related to the specific standards assessed were checked. At the time of this inspection Greenhills is undergoing major building and refurbishment work for this reason not all the key standards were assessed. It is a credit to the residents and staff for managing effectively whilst the building works continues. What the service does well: What has improved since the last inspection? Since the last inspection a new vehicle has been purchased. This is fully adapted and can accommodate up to three wheel chair users at any one time. Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 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. Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 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 the following standard(s): 2 • Service Users would only be admitted based on an assessment of their needs ensuring the home would be able to meet the service user’s identified needs and have the appropriate staffing levels and facilities. EVIDENCE: Since the last inspection no new services users have been considered for Greenhills, however, the Registered Manager explained that in theory there was a waiting list of potential people who would be considered if and when a vacancy occurred. In view of this, the inspector discussed with the Manager and deputy the process for a prospective service user being considered for a placement and they both demonstrated their knowledge and understanding of good working practices. Prospective resident’s needs would be fully identified through the assessment process. Many of the prospective residents considered for Dorset Residential Homes have complex needs and very individual methods of communicating and staff said that in reality it might take months to complete a full assessment of the persons needs, preferences and personal wishes. Most referrals are received from either Community Nurses or Social Workers and these professionals provide all current assessments/plans to help staff at Greenhills establish a baseline for the prospective person. This multi agency working and network ensures a comprehensive approach for any prospective resident. Prospective service users would always be involved and the admission process would be based on the individual’s ability to cope with the Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 Page 9 transition of moving into a new situation. The last person who moved to Greenhills had both physical and intellectual needs and staff worked closely ensuring all the aids and adaptations were in situ before the person moved to the home. Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 Page 10 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): None of the key standards were assessed having been assessed and met at the previous inspection. EVIDENCE: Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 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 the following standard(s): 15 • Residents are supported to maintain contact with family and friends. EVIDENCE: Staff advised that the majority of the residents living at Greenhills were fortunate to have regular contact with their families and for some this included regular overnight stays. Family members are encouraged to contribute to the reviewing and monitoring of the services and care their sons/daughters receive. Two residents enjoy and benefit from contact with their advocates who will speak up with and for them if necessary. Visitors are welcome in the home at any time and residents can meet with visitors in the communal areas or in the privacy of their own rooms. The visitor’s book was well used confirming the regular contacts. Most of the residents’ friends and social contacts are with other people using either voluntary or statutory services and many meet and enjoy the company of their peers at day services and at the local Gateway Club. Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 Page 12 Many of the residents are local people having lived in and around Bridport for many years and as a result have several good acquaintances and residents are often greeted by people when out and about. On the day of this inspection visit only one resident was at home. Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 • Medication is kept safely within the home and the appropriate records are maintained. EVIDENCE: Medication is received and stored in the home according to DRH policies and procedures. The records for administering medication were checked and were being accurately maintained by the staff. Only qualified staff administer medication. The pharmacist supplying the medication undertakes six monthly checks and the last report indicated no significant requirements. Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 Page 14 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 by the complaints and adult protection procedures and staff spoken with were aware of the action to take should a complaint or allegation of abuse be made. EVIDENCE: Dorset Residential Homes has comprehensive policies and procedures for dealing with complaints and any allegations of abuse. No complaints have been received since the last inspection. Staff completing LDAF and or NVQ training undertake specific study units on the Protection of Vulnerable Adults. The Registered Manager and staff on duty stated how they were aware of their responsibilities and duties to protect residents especially as some of the residents were totally dependent on staff for all their physical needs. Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 Page 15 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): None of the key standards were assessed at this inspection having been assessed and met at the last inspection. EVIDENCE: Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 Page 16 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): 33, 34, & 35 • Staff at the home are competent to do their jobs and have sufficient training to deliver good quality care. • Staff checks are comprehensive ensuring the safety of the residents. EVIDENCE: The home has a total of five qualified nurses and nine support workers. Each shift generally has one qualified nurse on duty and three support workers. Two night waking staff are on duty from 21:45-07:45. The Registered Manager continually monitors the staffing levels. Each member of staff has a Training Log, which clearly shows training completed, some of those checked need to be updated. All new unqualified staff complete the LDAF training and then progress to NVQ levels 2 & 3. All new staff are subject to a comprehensive induction period. Both the registered manager and Deputy have successfully completed NVQ level 4 in care management. Staff on duty at the time of this inspection visit stated they were happy with their jobs at the home and felt there were enough staff to look after the residents and meet their needs. Two mobility aides/support workers are also employed and provide additional one to one time with residents. Observation of the staff during the inspection showed that communication was good and staff attended to the needs of the resident. The staff file of the most recently recruited member of staff was checked and all the required references and checks had been completed. Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 Page 17 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): 39 • The home seeks the views of the residents, staff and relatives and these views would be acted upon. EVIDENCE: The “responsible individual”/ representative for Dorset Residential Homes completes the monthly monitoring visits. The Regulation 26 reports are comprehensive and extremely useful providing on going information. The Registered Manager completes quarterly health & safety audits and staff competency evaluations are regularly undertaken. No formal quality assurance questionnaire or monitoring is currently undertaken. However from the regular contact with the home’s liaison officer, staff meetings and supervision clearly a considerable amount of self monitoring is undertaken which helps ensure the services and facilities continue to meet the changing needs of the residents living at Greenhills. Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 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 Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 x x x 3 x x x x Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 Page 19 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 Greenhills DS0000020469.V279199.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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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