Inspection on 21/09/05 for Greenside Court

This inspection was carried out on 21st September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Greenside Court 28/01/09

Greenside Court 23/11/06

Greenside Court 23/02/06

Greenside Court 10/03/05

Greenside Court 28/05/04

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

CARE HOME ADULTS 18-65 Greenside Court Greenside Greasbrough Rotherham South Yorkshire S61 4PT Lead Inspector Janet McBride Unannounced Inspection 21st September 2005 10:45 Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 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 Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 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. Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Greenside Court Address Greenside Greasbrough Rotherham South Yorkshire S61 4PT 01709 558465 01709 556277 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) Greenside Health Care Ltd Ms Christine Alison Blacknell Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (20), Physical disability (20) of places Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 20 mental disorder places must be used only for clients with Huntingdon`s Disease. The admission of clients with a diagnosis other than Huntingdon`s Disease must be agreed with the NCSC prior to placement. (This is not intended to be restrictive, rather to support and recognise the specialist services provided at this Home) 10th March 2005 Date of last inspection Brief Description of the Service: Greenside Court is a care home with nursing, for up to twenty adults, with physical disabilities, including a special unit for people with Huntington’s Disease. It is situated in Greasbrough, a residential area of Rotherham, and is near to local shops and facilities. The home was purpose built in 2003, and is on two floors connected by stairs and a passenger shaft lift. Each floor is similarly designed, with 2 lounges and a dining room, plus other communal facilities, and 10 bedrooms which are all single and en-suite including showers. A computer room and visitors’ room are on different floors. The bathrooms have bathing facilities suitable for people with physical disabilities. There are gardens around the home including a level patio area with seating and barbeque facilities. Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A statutory unannounced Inspection was completed on the 21st September 2005,starting at 10:45 and finished at 16.00 hours. During the Inspection we looked at a chosen selection of the National Minimum Standards, sampling of records, document reading, tour of the premises and direct and indirect observation of staff and residents. Discussion with management, interviews with staff members and discussion with residents at the home at the time of the Inspection. A number of comment cards were left at the home for relatives, residents and visitors to complete, some of which were received back and their comments included in the report. What the service does well: What has improved since the last inspection? The home have addressed most of the requirements, and has listen to recommendations, and tried to address some of these issues, for example the home has looked at ways of involving residents is staff recruitment, and implemented some of the ideas they came up with. Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 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. Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 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 Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 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): None of these standards were fully assessed at this Inspection. EVIDENCE: Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 Page 9 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 these standards were fully assessed at this Inspection. EVIDENCE: Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 Page 10 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 Residents are supported to have links outside the home, which encourages personal development. And have the opportunity to take part in social activities, but not able to continue with any educational activities. EVIDENCE: Residents have the opportunities to take part in activities offered by the home; employment of two life skills co-ordinators has increased the opportunities to take part in fulfilling activities for residents. One of these co-ordinators was interviewed who described his job role and gave examples; weekly programme is produced giving information about activities that individuals or groups are involved in, walks, shopping, reading to, group activities include games, pub lunch, karaoke, and DVDs, and during the Inspection this was evident. Educational and employment opportunities were discussed and the home have made attempts to find appropriate educational and employment input for Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 Page 11 residents, but these have not been successful, however these need to be explored as this could be a fulfilling activity for some individuals. Interviews with both staff and residents confirmed that they are encouraged and supported to maintain links with both family and friends. Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 Page 12 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 Residents must consent to medication; this must be recorded in their care plans. EVIDENCE: Policies and procedures in place for all medication, none of the residents administer their own medication this is administered by staff. The home use monitored dose system with records kept, the supply pharmacist carries out audits every three months. Discussion with the manager about residents consent to medication should be obtained and recorded in their care plans. Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 Page 13 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 Residents and relatives are provided with information to enable them to raise concerns or complaints about the home and their care. EVIDENCE: The complaints procedure is displayed in the entrance hall and is available to all service users. It follows the requirements of these standards, and complaints records show that appropriate action is taken within the timescale. Residents felt able to discuss issues or areas of concern with members of staff and the manager. The Commission for Social Care Inspection received a complaint in June 2005,this was investigated by a regulation Inspector and found no evidence of the issues raised, and therefore the complaint was not upheld. Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 Page 14 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 29 30 The home is clean, tidy and provides a pleasant living and safe environment, for residents. Personalisation of bedrooms reflects the interests and promotes residents independence. EVIDENCE: Tour of the premises found them to be in good condition, with a number of areas redecorated since the previous inspection. The home was clean, odour free, tidy and warm, which was pleasant and welcoming. Some residents had chosen décor for their own rooms and had purchased matching accessories. During the tour of the premises it was evident that a wide range of equipment was seen in use to meet the needs of the current resident group. The manager commented that specific equipment had been obtained for individuals and that advice had been sought from other professionals prior to purchase. The home ensures maintenance checks are completed, and repairs as required. The laundry was well organised and contained the required equipment, and meets the relevant standards. Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 Page 15 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 Residents are supported by staff that are competent and have the skills to deliver the care they need, and the homes recruitment policy and practices ensures the protection of residents. EVIDENCE: The home has a very effective staff team; with skills to support residents assessed needs, and activities staff are extra to care staff numbers Discussion with the manager who confirmed they review staffing numbers as needed for example, when residents are admitted with complex needs staffing levels are increased to reflect residents care needs. Recruitment procedures are in place and a number of staff files were checked, and records show that the home operates a thorough recruitment and follow policy and procedures practices and those seen contained the required information and checks. Management support residents being involved in the selection of staff by ensuring when staff are interviewed, they are invited to sit in the lounge with residents and discuss life within the home. Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 Page 16 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 41 42 43 Overall management of the home ensures that resident’s health, safety and welfare are promoted and protected. Resident’s benefit from a well run home that creates an open and positive atmosphere, with monitoring systems in place based on seeking the views of residents, and that the management reviews their views. EVIDENCE: The home uses a number of quality monitoring systems in place for example accident analysis and incident reviews. Surveys of both relatives and residents are held annually, head office receives the replies and processes the results. Health and safety was discussed with the manager, staff and records checked; Fire safety records were all satisfactory, records show that staff has received appropriate training and accident and incident are reported as required. Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 Page 17 Records seen were accurate and up to date and since the last Inspection care staff document in residents care plans when they are involved in direct care. There is a business and financial plan for the home but this requires updating. Budgets are in place and managed within the home. The regional manager attends the home to carry out audits and produce reports to meet Regulation 26. Copies of these were available to read. Insurance cover is in place for the home and certificates seen. Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X 3 3 LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Greenside Court Score X X 2 X Standard No 37 38 39 40 41 42 43 Score X X 3 X 3 2 2 DS0000042561.V250646.R01.S.doc Version 5.0 Page 19 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA12 Regulation 12(1)(b) Requirement Timescale for action 01/12/05 2 YA42 13 Service users should have opportunities in education and employment. (Timescale of 1/9/05 not met) Fire safety; records must be kept 01/10/05 to show evidence that staff have completed fire drills. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA20 YA43 Good Practice Recommendations Obtain service user consent to medicine administration. Review the business and financial plan for the home. Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Greenside Court DS0000042561.V250646.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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