Inspection on 26/02/09 for Greenside House

This inspection was carried out on 26th February 2009.

CSCI found this care home to be providing an Good service.

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

Greenside House 23/11/06

Greenside House 27/09/05

Greenside House 15/06/05

Greenside House 11/08/04

Greenside House 12/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Greenside House Greenside Avenue Mapplewell Barnsley S75 6BB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Mike ONeil     Date: 2 6 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Greenside House Greenside Avenue Mapplewell Barnsley S75 6BB 01226386600 01226391332 none Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Barnsley PCT Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 38 Number of places (if applicable): Under 65 Over 65 38 old age, not falling within any other category Additional conditions: 0 Staffing levels must be maintained at or above the levels required by the April 2002 Residential Forum, Care Staffing in Care Homes for Older People. The bedrooms allowed occupancy is as follows: Flat 1 - 7 Bedrooms all single occupancy Flat 2 - 7 Bedrooms all single occupancy Flat 3 - 6 Bedrooms all single occupancy and 1 double bedroom Flat 4 - 6 Bedrooms all single occupancy and 1 double bedroom Flat 5 - 6 Bedrooms all single occupancy and 1 double bedroom The two single bedrooms with a partition screen in Flat 3 (bedroom 2 & 3) must be used as one double bedroom. The occupants of this double room must be given the option to move to single bedrooms when available. Three of the places are registered for either OP Old Age; not falling within any other category, OR PD Physical Disability for people aged 55 years to 64 years inclusive. Where additional services are provided eg day care, staffing for this must be over and above that required by condition 3. Date of last inspection Care Homes for Older People Page 4 of 25 Brief description of the care home Greenside House is a purpose built home, which, provides a range of residential and day care services for older people. It stands in its own grounds in a residential area and is close to the centre of Mapplewell village. Adequate car parking space is provided. The home is divided into five wings that are called flats. There are four flats on the ground floor and one flat on the first floor. The home has a passenger lift. Each flat comprises seven bedrooms, a lounge/dining room, a kitchenette and sufficient toilet and bathing facilities. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This is what was used to write this report. Information about the home kept by the Commission for Social Care Inspection. Prior to the visit the service had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the service was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of the report. Information returned to us by 6 people who have received respite care at Greenside House and 4 staff who work there. An unannounced visit to the home. This was carried out by Michael ONeil, regulation Care Homes for Older People Page 6 of 25 inspector on 26th February 2009 and included talking to 8 staff and Debbie Griffin, home manager about their work and the training they have completed. And checking some of the records, policies and procedures the home has to keep. Debbie has been manager at Greenside House since October 2008,she is not yet registered with the CSCI as manager. Some time was spent observing staff supporting people and talking with the majority of people currently residing at Greenside House. We wish to thank the people living in the home and the staff for their time, friendliness and co-operation throughout the inspection process. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: A clear complaints procedure should be displayed in the home. An audit of staffing levels should be undertaken. Staff should be consulted to highlight and address any areas of concern over the levels of staff employed. Improved procedures should be implemented and followed to ensure that peoples finances are safeguarded. The fire risk assessment for the home needs to be reviewed. Care Homes for Older People Page 8 of 25 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were individually assessed prior to admission to ensure their needs could and would be met. Evidence: Three care plans checked showed that people within the service had been assessed before moving into Greenside House. Risk assessments and a plan of care reflected any specialist interventions. The assessment forms checked were detailed and fully completed. The manager and staff liaised with professionals, the person and their families to find out about peoples needs. The manager and staff confirmed that intermediate care is not being provided at the home. People are admitted for short-term respite care only. Care Homes for Older People Page 11 of 25 Care Homes for Older People Page 12 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health is monitored and arrangements for dealing with health issues were met with support from health professionals. People were treated with respect and said they were very happy with the care they received. Medication policies and procedures were well managed ensuring the safe administration of medication. Evidence: Three peoples care plans were checked. The peoples care plans contained details about the persons biography, personality and their preferences and choices. Overall we felt the standard of the plans were good and they did focus on the individual person. (Person centred) Risk assessments were included within the documentation and included moving and handling, skin integrity, and other risk factors. The care plans identified that a range of health professionals visited the home to assist in maintaining peoples health care needs. People said they had regular contact with their GP and other health professionals such as district nurses. There were two issues within Care Homes for Older People Page 13 of 25 Evidence: the care plan documentation that did require staff attention. There was no evidence recorded to show that people and/or their relatives were involved in drawing up and reviewing the care plans. One persons care plan had not been reviewed since their admission to Greenside House two months earlier. We would recommend that care plans be reviewed monthly. People said staff also helped them to maintain health appointments within the community. During our visit we saw staff taking time to ensure a person was able to visit the hospital for an out patient appointment. The staff member even made sure the person took a packed lunch with them in case they were delayed at the hospital. People looked clean, well dressed and had received a good level of personal care. Throughout all our discussions with people we did not hear one negative word said about Greenside House. Peoples comments included The staff are lovely,all of them Staff cant do enough for you Im leaving here soon, I dont want too, its a wonderful place Its champion here. Medicines were securely stored in locked cupboards. Medicine Administration Records (MAR) checked were completed with staffs signatures. Handwritten MAR sheets checked contained General Practitioners or two members of staffs signatures alongside any directions regarding the dosage of the medication or the time the medication was to be given. Staff said they had received medication training and records were seen of this training having taken place. People were treated with respect and dignity and addressed by their preferred name. Staff were observed interacting in a friendly and pleasant way. Care Homes for Older People Page 14 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People had a choice of lifestyle within the home and were able to maintain contact with family and friends ensuring that they continued to be involved in community life. People were able to make choices about daily living and be involved in some social activities. Meals served at the home were of a good quality and offered choice to ensure people receive a balanced diet. Evidence: People said they were able to get up and go to bed when they chose and generally how they spent their day and evenings. A friendly, lively and welcoming feel was very evident in Greenside House. People said that the home was a happy placethis was evident on the day of our visit. It was nice to hear laughter from people and staff around the home. People said that there were some activities planned. Some people said they enjoyed the activities available at the home, whilst other people said that they chose not to join in with the activities arranged. We saw that some people welcomed the opportunity to Care Homes for Older People Page 15 of 25 Evidence: talk to staff or other people in the home. People were talking about the football they had all enjoyed watching together on television the night before and they were busy planning the forthcoming evenings entertainment. All comments about the food were positive. People said the quality and choice of food served was very good. The mealtime experience for people in the home was very positive. The tables were set nicely with cloths, condiments and matching crockery. The meals were served in a relaxed unhurried manner by staff. People said they were always offered a choice and asked what they wanted for their breakfast, lunch and teatime meals. We heard staff asking people what their meal preference were. People said they were offered drinks on a regular basis throughout the day. Care Homes for Older People Page 16 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints procedures were in place and people felt confident that any concerns they voiced would be listened to. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home, so helping to ensure that people were protected from abuse. Evidence: A complaints procedure was displayed in the entrance hall of Greenside House. This however contained only limited details of who to speak to at the home to make a complaint. The procedure did not highlight contact numbers for the registered provider or other external agencies. People did say that they would feel very comfortable in going to the manager knowing that any concerns they may have would be addressed without delay. Regarding safeguarding adults, the safeguarding policies and procedures were available to the staff. Staff said they had undertaken Safeguarding Adults training, and the manager was able to evidence this by producing the training records. Care Homes for Older People Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment within the home was well maintained and clean providing a comfortable, safe environment for people. Evidence: Greenside House was clean and tidy and no unpleasant odours were noticeable. Lounge and dining areas were domestically furnished to a good standard. People said that the home was always kept spotlessly clean. Bedrooms checked were comfortable and homely. People said their beds were comfortable and bed linen checked was clean and in a good condition. The lounges for people to use were homely. They were small enough to give an intimate feel and allow conversations to take place across the rooms, between people. People liked this. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. In the main staff were employed in sufficient numbers. Recruitment procedures promoted the protection of people. People received care from a well-trained staff team who had the skills to maintain the safety of themselves and other people at the home. Evidence: People spoke highly of the staff team and said staff always listened and acted on what they said. People said that staff were always available when needed. For the 31 people resident at the time of our visit the following care staff were on duty. Five support workers, 2 health care assistants, 2 assistant managers and the manager. These numbers do comply with the condition of registration for Greenside House. Some staff felt that there were not enough staff employed at times. Staff said that this in the main was due to staff sickness and staff having to take holidays before the yearend. We spoke with the manager about the current staffing levels. The manager said that new staff are to be employed at the home when their employment checks have been completed. In view of the comments made, however, and due to the possible changing needs of Care Homes for Older People Page 19 of 25 Evidence: people, an audit of staffing levels should be undertaken. Staff should be consulted to highlight and address any areas of concern over the levels of staff employed. Staff did say there were good hand over periods included in the services rotas. Staff files were stored centrally. We asked for three specific staff files to be sent to the home. The files checked contained a range of information including two references and a declaration of health and identification. The staff had undertaken a criminal record bureau check (CRB), at the enhanced level. This confirmed thorough recruitment practices were in place, which was sufficient to safeguard people. Staff said that they thoroughly enjoyed working at Greenside House and got a lot of job satisfaction. The staff training records and the AQAA provided the evidence that the staff have all of the training needed to make sure that they can care for people. This included all of the mandatory health and safety training specific to the needs of people at Greenside House. Staff were able to talk about the various training courses that they had attended. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The procedures and ethos of the home ensure that Greenside House is run in the best interests of people who use the service. In the main peoples monies were safely handled, which ensured that finances were accurate and safeguarded. The services procedures promote the health, safety and welfare of people who use the service and the staff. Evidence: Debbie has been manager at Greenside House since October 2008,she is not yet registered with the CSCI as manager. Barnsley Primary Care Trust, the registered providers of the home, need to confirm what the management plans for the service are and inform the CSCI of these arrangements. Care Homes for Older People Page 21 of 25 Evidence: Debbie has many years experience within the nursing and caring profession and is currently undertaking the Registered Managers Award. Staff and people spoke highly of the manager and said she was always available and very approachable. The manager and provider had ways in which to check out the quality of the service that they were providing. Regular staff meetings were arranged. Management audits for health and safety, the kitchen, cleaning, record keeping and medication were completed. The responsible individual visited the home on a regular basis, a report was written following the visits and any identified actions taken. The service carried out regular satisfaction surveys and comments had been acted upon. People were able to maintain control over their finances if they wished and had the capacity to do so. The service handled money on behalf of others. This was checked for four people. Account sheets were kept. Staff signed any deposits made and people signed when they made withdrawals. However peoples finances were not being fully safeguarded because: No records were available to show that staff were carrying out regular checks to ensure the money recorded on peoples records was actually still in the safe. The cash held for one person had not been checked against their balance sheet for over 4 months. A fire risk assessment was in place at the home. No issues requiring attention were highlighted in the assessment. However the assessment had not been reviewed in the last 18 months. It is strongly recommended that the assessment should be reviewed at least once a year. The AQAA provided information of the dates that equipment and systems within the home had been serviced and maintained. Staff said they had received recent fire safety and other health and safety training .A sample of records showed that staff were receiving this statutory training. At the time of the visit fire exits were clear and hazardous products were safely stored in the home. This will promote the safety and welfare of the people. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Peoples care plans should be reviewed monthly and updated to reflect any changing health or social needs of the person. People and/or their relatives should be involved in drawing up and reviewing their care plans. A clear complaints procedure should be displayed in the home. This should contain all relevant contact details. An audit of staffing levels should be undertaken. Staff should be consulted to highlight and address any areas of concern over the levels of staff employed. The registered providers should inform the CSCI as soon a possible of the management arrangements for Greenside House. The registration process for a new manager can then begin. Procedures should be improved to ensure that peoples finances are safeguarded. The homes fire risk assessment should be reviewed at least once a year. 2 3 4 7 16 27 5 31 6 7 35 38 Care Homes for Older People Page 24 of 25 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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