Inspection on 23/02/06 for Greenside Court

This inspection was carried out on 23rd February 2006.

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 no outstanding requirements from the previous inspection report, but made 1 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 21/09/05

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 23rd February 2006 09:45 Greenside Court DS0000042561.V284006.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 Greenside Court DS0000042561.V284006.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. Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 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 Post Vacant 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.V284006.R01.S.doc Version 5.1 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) 21st September 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.V284006.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector from the Commission for Social Care Inspection carried out this unannounced inspection at Greenside Court, on the 23rd February 2006, commencing at 09:45 and finished at 14:45. This was the home second Inspection since April 2005,any standards not covered in this inspection was covered in the unannounced inspection that was conducted early in the year. It may be the case that some standards will be covered twice in the inspection year 2005/2006, which is considered good practice, and consistent with a professional approach to regulation. During the Inspection we looked at chosen number of documents, sampling of records, tour of the premises and direct and indirect observation of staff interaction with residents, this Inspection also included interviews with members of the staff team including management. Feedback was given to the person in charge during the Inspection, and verbal feedback to the manager at a later date. What the service does well: What has improved since the last inspection? The home has addressed all of the requirements made on the last Inspection. Management listen to good practice recommendations, and tried to address these issues. Greenside Court DS0000042561.V284006.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. Greenside Court DS0000042561.V284006.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 Greenside Court DS0000042561.V284006.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): 23 The home demonstrated they carry out very detailed assessments, to ensure that the home can meet the assessed needs of each individual service users. EVIDENCE: Records show that all service users are assessed prior to admission to the home. Recent admission shows a very detailed assessment was completed, which cover the required elements and was also linked to the care plans and risk assessments. Risk assessments show actual and possible risks and are linked to activities of daily living. There was evidence of service user or advocate involvement in assessment and planning with signatures on documentation. The home offers a very specialist service and care plans show a very detailed plan of care that reflects any specialist interventions. The home has strong links to the relevant specialists for Huntington’s Disease (HD) such as the specialist HD nurse, and a medical consultant in Sheffield. Evidence of referral and advice to these sources was seen in documentation. The manager is able to obtain support from a number of people within the Exemplar organisation. Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 Page 9 Training for all staff at induction includes information about HD and its effects. The staff has been recruited to provide a mix of skills to cover a range of needs for the service users. Greenside Court DS0000042561.V284006.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): 679 The home ensure that service users are assessed, assisted and supported to live an independent life as possible within the home, and make decisions about all their daily living needs. EVIDENCE: Three service users care files were examined, each file examined contained a service user plan for activities of daily living showing interventions required, methods of communicating, choices and preferences. Linked to these were clear risk assessments, and behavioural triggers. Daily records are linked to plans which are reviewed monthly, evidence of this was seen, when one care plan seen had a number of amendments to care plans following recent changes of condition, and involvement of specialist involvement when required. Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 Page 11 For those service users that are not capable of making decisions, or that make bad decisions that may put them at risk, the home was able to evidence that they involve multi disciplinary team, families and advocacy. Very detailed documentation in care plans to assess risks for service users which identifies the risk and the action taken to minimise this, agreed strategies are recorded in individual plans and reviewed monthly. Records of incidents show that the home responds promptly to these and ensure that the Commission for Social Care Inspection is informed. Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 Page 12 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 16 17 Service users rights, privacy and dignity are respected, and staff within the home promote independence and choice and all service users are encouraged to keep links with family and friends. EVIDENCE: Staff supports service users to maintain family and friends links, one-service users who had lost contact with their family with the staffs help they made contact, who now visit on a regular basis. Daily routines within the home are flexible for all service users; during the inspection service users were observed to follow individual routines in their daily lives. They have unrestricted access to the home and grounds unless risk assessment states otherwise. Staff promotes independence and choice, and respect service users privacy and dignity, staff were noted to knock on bedroom doors before entering, all service users receive their mail unopened. Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 Page 13 Observation at lunchtime atmosphere was relaxed and unrushed, food served during the inspection was of a good quality, and comments made about meals were positive. Service users requested alternatives or additional meals through staff or directly with the cook. Records show that all service users are nutritionally assessed, weighed on a regular basis, dietery intake recorded if required and access to a dietician and speech therapist when required. Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 Page 14 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 promotion of personal and healthcare support to service users is excellent, as the home ensure that health care needs are met through appropriate access to health care, and specialist care services and personal support that meets individual service users needs. EVIDENCE: Care plans give information and preferences regarding personal care, moving and handling, routines, specialist support and equipment. The homes has a good skill mix of general, psychiatric, and learning disability nurses, and each unit always has a nurse on duty overseeing care of those service users, and all service users are allocated a key workers. All the current service users are registered with a local GP practice, which appear to give good support to this client group. Health care is monitored and, service user records show contact information with a variety of health care professionals, and good links to the HD specialist in Sheffield and the HD nurse are evident in records and discussion with the Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 Page 15 deputy and manager who stated that clinics are held at the home every three months to review service users. There is appropriate equipment available for individuals, and tracking system are installed to aid the moving and handling of service users. All medication policies and procedures are in place and were checked on the last Inspection and met with the minor exception of staff obtaining service users consent to medication as all medicine is administered by staff, this as been addressed and each service users as signed a consent form which recorded in their care plans. Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 Page 16 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): 23 Staff has excellent knowledge and understanding of adult protection issues, which promotes protection of service users from abuse. EVIDENCE: The home ensure that service users are safeguarded from any abuse, as they have policy and procedures in place for staff to follow, and training matrix shows that staff complete abuse training courses. Physical and verbal aggression by service users is dealt will appropriately, as records show very detailed documentation regarding aggression and guidance in care plans. All staff has CRB and POVA checks before they commence employment, but one issue was raised some staffs CRB checks were done over three years ago, and good practice recommends CRB checks are carried out every three years, therefore some staff require new checks to be carried out. Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 Page 17 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): All key standards were assessed on the last Inspection and met. EVIDENCE: Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 Page 18 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 35 36 The home has an enthusiastic workforce that work positively with service users to improve their whole quality of life. EVIDENCE: Those staff members that were spoken to had sufficient knowledge and skills to care for the specialist needs of the service users and could explain these to the inspector. Staff was clear about the aim of the home, and of their own roles within it. There is a good mix of staff with experience and qualifications, with nursing registration in general, psychiatric or learning disability. A number of staff are undertaking NVQ training, seven care staff have obtained NVQ level 2 or 3 and the home are working towards meeting the 50 target. Training and development records for individuals were included in staff files, and a matrix of training attended and required was also seen, this indicates that all mandatory training is being planned for the year as well as other relevant training. Records show that any new staff has received TOPSS training. Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 Page 19 Supervision was discussed with staff and files checked, all of which show that although staff receive formal supervision this is not on a regular basis. Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 Page 20 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 42 43 Service users benefit from a well run home that creates an open and positive atmosphere, as overall management of the home ensures their health, safety and welfare are promoted and protected. EVIDENCE: The homes acting manager as still to be approved by the Commission for Social Care Inspection, but arrangements have been made for her to attend her fit person interview. She is well qualified and has a lot of experience and aware of her role and responsibilities. Health and safety was fully assessed at the last Inspection, therefore only partially assessed at on this occasion, discussion with staff and some records checked; Fire safety records were all satisfactory, training records show that staff has received appropriate training and accident and incident are reported as required by regulation. Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 Page 21 The homes maintenance man was interviewed, explained his role and the training he had completed. His records were available and documentation show details of what is checked on either a weekly, monthly or quarterly basis all of which was up to date. The homes business and financial plan for the home is being reviewed and updated. Insurance cover is in place for the home and certificates seen were on display in the reception area along with the Registration certificate and the homes complaint procedure. Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 Page 22 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 X 23 2 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 3 33 X 34 X 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X X X X 3 3 Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 Page 23 NO 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 YA36 Regulation 18(2) Requirement Supervision all staff must receive formal supervision on a regular basis. Timescale for action 01/04/06 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 3 4 Refer to Standard YA23 YA35 YA37 YA43 Good Practice Recommendations CRB checks for staff should be every three years. Ensure that 50 of care staff has NVQ qualifications. The registered manager should complete NVQ level 4 in management. Review the business and financial plan for the home. Greenside Court DS0000042561.V284006.R01.S.doc Version 5.1 Page 24 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.V284006.R01.S.doc Version 5.1 Page 25 - 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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