Inspection on 16/02/07 for Greenhive House

This inspection was carried out on 16th February 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

Greenhive House 17/03/06

Greenhive House 12/08/05

Greenhive House 22/03/05

Greenhive House 01/10/04

Greenhive House 12/02/04

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

CARE HOMES FOR OLDER PEOPLE Greenhive House 50 Brayards Road London SE15 2BQ Lead Inspector Ms Alison Pritchard Unannounced Inspection 10:25 16 & 23 February 2007 th rd X10015.doc Version 1.40 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 Greenhive House DS0000030684.V326530.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 Older People. 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. Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greenhive House Address 50 Brayards Road London SE15 2BQ 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) 0207 740 9880 0207 639 8423 connie.oppong@anchor.org.uk www.anchor.org.uk Anchor Trust Ms Connie Oppong Care Home 48 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (48), Old age, not falling within any other of places category (48) Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One Service user 64 years of age, with Dementia, can be accommodated within the home 17th March 2006 Date of last inspection Brief Description of the Service: Greenhive House is a care home run by Anchor Homes, providing personal care and accommodation for 48 older people who may have dementia. The home is purpose built and was opened in 2001. The home is arranged into three group living units, each with its own living room and dining room. All of the bedrooms are single and have en-suite facilities. There is a large garden to the rear. The home is in Peckham, within a reasonable distance of the shopping centre and public transport routes. On the ground floor of the home is a separate unit which is managed by the South London and Maudsley Health Trust. It provides care for people with dementia and operates separately from Greenhive House. On the days of the inspection there were 48 residents of Greenhive House. Potential residents are given information about the home and the services available through providing information to agencies who make referrals – including Southwark Social Services social work teams for older people and Hospital discharge teams. The home has a ‘block contract with Southwark Social Services so all referrals are made through these routes. Information is also available through the website of Anchor Care. The home’s brochure is available in the main entrance to the home. Copies of the most recent CSCI reports are kept on all of the home’s units, on residents notice boards, on the staff room notice board and at the home’s reception area for easy access to all visitors and professional bodies. The CSCI reports are also mentioned in the Anchor statement of purpose along with information about where the report can be obtained. The current fees for the home are between £536 and £561 a week. No additional charges are made. Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and carried out over two days in February 2007. The inspection methods included observation of care practice, discussion with residents, relatives and staff, inspection of residents’ files, as well as a range of other records. The inspector also observed a meeting between staff during which information about residents’ progress and needs was handed between staff on different shifts. Involved professionals and relatives were sent survey forms so that they could contribute to the inspection process. Feedback was received from four relatives and friends and two health care professionals. The Inspector is grateful for their contributions. The CSCI also has access to information gathered through notifications from the home. A pre-inspection questionnaire was sent to the home prior to the visit asking for information. This questionnaire was returned to the CSCI. All of this information has been taken into account in compiling this report. The inspection visits were facilitated by the Registered Manager, a Team Leader, the Administrator and care staff who were all helpful and courteous throughout the process. What the service does well: A relative of a resident described the staff of the home as ‘good, they are very kind.’ A resident said that the manager of the home as ‘very helpful’, another said that he had ‘no complaints’ about the care he receives. A relative said that ‘the home provides a friendly and caring atmosphere and is always welcoming.’ The inspector saw that residents with warmth and respect by staff at all levels. The building is in a good state of repair and some redecoration was going on during the inspection. the residents are helped to make their rooms personal to them and homely by bringing their own small items of furniture, photographs and ornaments. The building was very clean when the inspector visited. Although the written assessments and care plans were not always complete staff showed good knowledge of residents’ needs and how the home goes about meeting them. The staff are well trained in issues relevant to the jobs that they do and there are enough staff available to help the residents. Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential residents have enough information to make sure that they can decide about whether the placement is suitable. The assessment carried out by the home is generally good but needs to be extended so that they record a potential resident’s cultural and religious needs and are sure that they can be met. Potential residents and people important to them can visit the home to assess whether it will be a suitable place for them to live. EVIDENCE: The home’s statement of purpose accurately describes the facilities and services at Greenhive House. It was updated in February 2007. The document includes information about the fees payable at the home and the services residents can expect to receive for the payment. The written information provided to referrers and to potential residents is very clear about the range of needs the home can meet. Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 9 Anchor Trust provide a checklist to assist potential residents in making the decision about whether the home they are visiting is right for them. It is a useful document and assists potential residents and their advocates to make decisions. This document and other information supplied by Anchor Trust is available on request in other languages, formats and large print. Potential residents, their relatives or advocates are invited to the home to have a look around and meet with staff and residents so that they can make a decision about whether the placement is suitable. Feedback from the friend of a resident who had come to live at the home about three months earlier was that they felt that they had all of the relevant information before choosing Greenhive. The inspector looked at the file of a resident who had come to live at the home shortly before the inspection visit. A care needs assessment had been carried out before the person came to live at the home so that the home was sure that they could meet the person’s needs. The assessment was detailed in many important respects and included information about the person’s social interests. However there was no information noted about the resident’s culture or religion. A staff member was aware of the person’s culture and religion but a written record should have been made of this so that the information could be used to contribute to a care plan. The home does not provide intermediate care. Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Although the care is judged to be good the care plans do not adequately reflect this in all areas and reviews must be conducted each month. A new care planning system is being introduced and should address many of the shortfalls identifies, particularly the need to ensure that residents’ cultural needs are addressed. The residents benefit from good liaison with health care professionals who visit the home regularly to attend to residents’ needs. A considerable strength of the home is the regard that the staff give to residents’ privacy and their respectful attitudes towards them. EVIDENCE: The care provided by the home is judged to be of a high standard, however this is not fully reflected in the written care plans. Each of the service users has a care plan called an ‘individual lifestyle agreement’. Five care plans were examined during the inspection visits. Some of the care plans did not include a photograph of the resident. However they did include information about the person’s religion and beliefs, and their social, medical and physical needs. Although in one case the person’s religion was stated, the way in which they Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 11 would be helped to follow it was not detailed, although staff said that the resident was assisted by family members to attend an appropriate place of worship. There was no written information about how this resident’s cultural needs were being addressed by the home. Care plans had been signed by residents. Some care plans seen had not been reviewed each month as specified in the National Minimum Standards. Anchor Care is in the process of introducing a new format for care planning in this and other residential homes. On the day of the inspection one of the senior members of staff was taking part in training about the new format. The new care planning format should bring considerable improvements to the written care planning system currently used. The GP, with whom all of the residents are registered, comes to the home each week and is available as necessary for advice and visits in between these times. The District Nurse services visit twice a day to attend to matters which are beyond the remit of the home’s staff, such as giving injections. There is twice weekly contact with the Community Psychiatric Nurse, the optician visits the home every two months and the chiropody service comes every three months. Records on residents’ file show that regular appointments with these and other health care professionals are kept and specialist advice is requested appropriately. Residents confirmed that they can make an appointment to see the GP when necessary. The feedback from two health care professionals was positive, both expressed overall satisfaction with the care their clients receive. The care plans of residents with specific medical needs, such as diabetes, included the details of how the home meets these needs, including how the residents’ menu is planned to be appropriate. The home monitors residents’ weights to ensure that they spot any changes which may need investigation. Medication is well managed in the home. Residents are encouraged to be responsible for their own medication if this is appropriate. The judgement about whether the person is able to do so is made using an assessment tool and in conjunction with the GP. A risk assessment for one person who ‘self medicates’ was seen, the review arrangements were noted and the GP is consulted about this. Storage facilities for medication are good and secure, there are separate safe arrangements for controlled drugs. Training in medication issues has been provided for staff over the last year. There are nine staff who hold a current first aid certificate. Residents confirmed that they are treated with politeness and regard for their dignity A relative included the following comment on a survey – ‘The staff are able to respond to her needs and treat her with a great deal of respect and consideration’. Residents confirmed that they are able to spend time alone if they wish, rather than join in activities. A health care professional commented ‘During my visits to Greenhive individual’s privacy and dignity are respected.’ Observation during the inspection was that staff treated residents with warmth and respect. Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents benefit from an activity programme which reflects individual interests and includes activities in the community. Residents are supported to maintain contact with people of importance to them. The home plays a minimal part in the management of residents’ finances and encourage the residents to maintain their independence in this area. Residents enjoy meals which reflect their tastes and dietary needs. EVIDENCE: The residents are given the opportunity to tell staff the kind of activities they like to follow and this information was noted in the care plans. An activities coordinator has worked at the home since June 2006. The activity programme in the home includes reminiscence sessions, quizzes, bingo, music and movement, arts and crafts and games. Staff were seen looking at newspapers with residents and having a chat with them. Trips from the home include theatre trips visits to the Horniman Museum, visits to local restaurants, and during good weather, trips to the coast or, more locally, to Dulwich Park. Some residents attend the local Irish Centre. A small shop is operated in the home so that residents can easily buy small items such as toiletries, cigarettes, sweets and tissues. A hairdresser visits the Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 13 home each fortnight. Some residents take an interest in the home’s pets – two cats and a budgerigar. Activities are discussed at the residents’ meetings which are held monthly. Other issues discussed include residents’ views of the laundry service, the menu, care issues and house-keeping. Residents are free to raise their own issues in addition to these regular agenda items. Residents are assisted to follow their religion. Some residents attend places of worship in the community and are picked up by friends and relatives, or the home will arrange transport for them. Others attend the church services which are held in the home by visiting clergy. The statement of purpose includes the information that there are quiet areas in the home which residents can use for quiet reflection if they wish to practise their faith this way. Visitors are able to visit the home to see relatives and friends at all reasonable times of day. A range of people commented that they are made to feel welcome by staff. Visitors can, by prior arrangement use the visitors’ room to stay overnight. One person commended the home on the information they give about her relative: ‘I speak to the staff on a regular basis…[I] always appreciate their communication as to my [relative’s] health and well being, which is so important to me, ……I can hang up the phone and truly know just how my [relative] is. The entire staff team treat me extremely well whenever I phone or visit.’ The manager / owner does not act as appointee for handling the financial affairs of any of the residents. Residents may keep a small amount of money at the home and draw on it as they wish. The records of these transactions were in good order and tallied with the receipts. An advocacy service is involved with the home and a representative recently attended a residents’ meeting. Residents are encouraged to bring personal items with them to the home and the bedrooms reflected this. The meals are prepared according to a four-week rolling menu. Each day a cooked breakfast is served, the main meal is served at lunch-time and the tea consists of soup, sandwiches or a light meal such as jacket potatoes or mushrooms and toast. There are alternatives available from an ‘ethnic food menu’ – such as salt fish and ackee or yam and spinach stew. Other alternatives to the main menu include cauliflower cheese, cottage pie or omelettes. The menus show that a wide range of nutritious food is available for residents. Residents said that they are pleased with the food they are served and that there is flexibility of they choose to have something not on the main menus. The cook attends residents’ meetings so she can receive feedback from the Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 14 residents group. The inspector joined residents for a meal, it was well prepared and nutritious. Meals are prepared in the home’s main kitchen but as each of the units has its own kitchen, drinks and snacks can be prepared in between these times. Each unit has a dining room where meals are served. The rooms are attractive and pleasant areas to eat a meal. Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The policies for complaints and dealing with adult abuse contribute to the protection of residents. EVIDENCE: The complaints procedure is clear and available in the home’s statement of purpose. Copies of the procedure are also displayed in the hallway of the home. Records of complaints are kept and they showed that any concerns raised with the home are investigated thoroughly and the complainant is given a response within the required timescales. No complaints had been upheld in the last twelve months. Some training has been undertaken in adult protection issues over the last year and further training is planned. Residents expressed confidence in the ability of the home’s senior staff to address any concerns they might have. The Anchor Trust statement of purpose is clear about the range of behaviours which are unacceptable, providing definitions of abuse, harassment and violence and aggression. Staff are provided with information about ‘whistleblowing’ and copies of a leaflet about adult protection issues are available on notice boards throughout the building. Employment contracts specify the standards of behaviour expected of staff including that they must not benefit from residents in the form of gifts or money. Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24, 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. All areas of the home are attractive, homely and comfortable for residents. EVIDENCE: The home is attractively decorated and comfortable. The facilities provided for residents are very good. Each bedroom is single with en suite facilities including a shower. Residents had been able to either furnish or decorate their bedrooms to their own taste. The standard furnishings provided are of good quality. Redecoration was underway at the time of the inspection. The layout of the home, with three separate units, each for 16 service users, allows a homely feel to develop within each unit. Each unit has a kitchen, lounge and dining area and there is plenty of space for residents. There are also rooms which can be used for activities for all residents to get together. The building is very clean and there were no unpleasant odours at the time of the inspection. Residents laundry is done individually. Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents benefit from consistent care provided by well trained staff who are familiar with their needs and available in adequate numbers throughout the day and night. EVIDENCE: In addition to the Registered Manager the care staff team consists of a Deputy Manager, five team leaders, six senior care staff and nineteen care assistants. An administrative assistant assists the Registered Manager with general management duties, and the ancillary staff team is made up of a chef manager, assistant chef, a team of catering staff and a housekeeping team, including one person who works in the laundry. At all times of the day and night there is at least one senior member of staff on duty with additional management support from the Registered Manager and Deputy Manager during office hours. In each unit there is a team of care assistants. This allows residents to become familiar with a small group of staff and for the care staff to be familiar with the resident’s needs. At night time a senior member of staff is on duty along with three members of care staff. These staffing levels are judged to be adequate for the needs of the residents. The shifts are arranged to ensure that there is adequate time to allow information to be passed between staff at a ‘handover meeting’. Observation of Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 18 a handover meetings showed that appropriate details were passed on to ensure that staff have the information to provide consistent care to the residents. Twenty one of the total care staff team are qualified to NVQ level 2. this is 70 of the team and this exceeds the standard required. The team have undertaken a range of training in the last year, including health and safety issues (including fire safety, food hygiene, back care and the use of chemicals) and care issues including dementia care, dining with dignity, adult protection, cultural diversity, medication and effective care planning. Further training is planned in adult protection, care planning, dementia awareness and health and safety. Staff turnover is low in the home and only two members of staff have left in the last year. This also contributes to consistency of care. A sample of recruitment records was checked. One issue was identified as needing attention. One of the references of one member of staff did not include adequate information. The original recruitment had been carried out elsewhere within Anchor and then the person had transferred to work at Greenhive House. This was pointed out to the Registered Manager who agreed to ensure that the matter was addressed. In all other respects the recruitment procedures and practise was satisfactory. New staff go through an appropriate induction and must complete a probationary period successfully prior to their appointment being confirmed. Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37, 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents benefit from good management systems which support staff to provide good quality care which takes into account the views of residents and their relatives. EVIDENCE: The Registered Manager has worked at the home since it opened in 2001 and before to that managed a home for the local authority, where many of the residents used to live and some of the staff team worked. She is appropriately qualified and experienced for the role, she holds the Registered Managers Award, NVQ level 4 and a postgraduate diploma in Health and Social services Management. In 2005 she was given an award by The Caring Times which recognised her management skills. Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 20 The manager is familiar to the residents and their relatives as well as to the staff team. She has a strong presence in the home and gives clear sense of direction. Feedback was received from residents and relatives about the care manager and was very positive including a comment from a relative describing her as ‘a lovely girl’. One resident said that a thing she appreciates about the manager of the home is that whenever the resident says ‘thank you’ to her for her assistance the manager always replies ‘you’re welcome’. There are a number of quality assurance systems used to ensure to monitor the quality of the service. Senior managers from Anchor Homes visit the Greenhive House each month and complete a report of their findings. The visits include discussion with residents and staff as well as an assessment of the premises, examination of records and a medication audit. An annual survey of relatives and residents is conducted across all of the Anchor Homes. The results were published in a report made available to the CSCI. In addition a quality assurance system called ‘Hospitality Assured’ is used at the home. It includes a range of quality assessment measures including a monthly survey of residents’ views on the personal care provided; the approach of staff; catering and mealtimes; housekeeping and GP services. Relatives and other visitors are also asked to complete questionnaires. The monthly residents’ meetings are another important aspect of ensuring that the home meets their needs and preferences The home does not manage the financial resources of any of the residents who are encouraged, whenever possible, to maintain this responsibility for themselves, or for relatives to take over the role. Residents are encouraged to open interest-bearing accounts. Some residents keep small amounts of cash with the home so that it is kept safe and easily available to them. Some cash transactions are carried out by the home, such as making payments for hairdressing, newspapers and small items from the home’s shop. Receipts for these items were in good order and tallied with the records kept. Access to cash held in the home is limited to named senior staff and the Registered Manager carries out monthly checks to ensure that the funds are used appropriately. Staff confirmed that they receive supervision at regular intervals. Notes of a supervision session showed that it is used for support and development of staff as well as providing a forum for management accountability. Records seen throughout the inspection visits were in good order, kept securely and with due regard for confidentiality. The information provided showed that regular checks of health and safety matters are carried out, with visits from health and safety representatives from within Anchor and from outside bodies having taken place during the last year. No health and safety concerns were raised during the inspection visits. Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 2 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 X X 3 X 4 STAFFING Standard No Score 27 3 28 4 29 2 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 3 3 3 Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 22 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. 1. Standard OP3 OP7 Regulation 12(4)(b) 15(1) Timescale for action The Registered Person must 01/05/07 ensure that the full range of residents’ needs are addressed by ensuring that assessments include consideration of needs which arise from culture, language, religion and beliefs and that these are reflected in care planning. The Registered Person must 01/05/07 ensure that care plans reflect residents’ current needs by reviewing them each month. The Registered Person must 01/05/07 ensure that residents are protected by staff recruitment practice by ensuring that transferred staff have all of the required checks and references in place. Requirement 2. OP7 15(2)(b) 3. OP29 19(1)(b) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 23 No. Refer to Standard Good Practice Recommendations Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection SE London Area Office River House 1 Maidstone Road Sidcup Kent DA14 5RH National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Greenhive House DS0000030684.V326530.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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