Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Greensleeves Residential Care Home 8 Westwood Road Portswood Southampton Hampshire SO17 1DN 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: Richard Slimm
Date: 1 6 0 9 2 0 0 8 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. the things that people have said are important to them: They reflect 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 26 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 26 Information about the care home
Name of care home: Address: Greensleeves Residential Care Home 8 Westwood Road Portswood Southampton Hampshire SO17 1DN 02380315777 02380490033 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Maria Sebastianpillai Type of registration: Number of places registered: Greensleeves Residential Care Home Limited care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 21. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia (DE). Date of last inspection Brief description of the care home Greensleeves is a care home situated in Southampton and close to local facilities. The home is registered for twenty one service users within the category of older persons and dementia care. The home provides accommodation in a range of single and double rooms which mainly have en suite facilities. The home provides two lounges, a dining Care Homes for Older People
Page 4 of 26 Over 65 0 21 21 0 Brief description of the care home room, and a kitchen, which are on the ground floor of the home and easily accessable to service users. To the rear of the property is an enclosed garden that is accessable to service users wishing to use it. Please contact the home for up to date information about fees. Care Homes for Older People Page 5 of 26 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: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection was an unannounced Key Inspection of the home, a Key Inspection being part of the CSCI inspection programme, which measures the service against the key National Minimum Standards, and outcomes for people using the service as part of a process known as Inspecting for Better Lives (IBL). This report incorporates information gained from people using the service and/or their advocates / relatives, staff, including managers and comments from eternal stakeholders who completed professional comment cards. Care Homes for Older People
Page 6 of 26 We were also provided with the services annual quality assurance questionnaire (AQAA) completed by the manager and other relevant information gained by the inspector during a site visit to the home. The visit to the home was undertaken by one inspector and lasted 5 hours. What the care home does well: What has improved since the last inspection? Action had been taken to comply with a number of issues identified in the previous inspection report. The home has systems in place for assessing people prior to admission, and are developing a more person cenrtred approach toward care and support planning. This ensures the needs of new residents can be met at the home. Residents told us they were happy at the home and had access to healthcare professionals on request. The menus are planned with residents, and people told us they were very happy with the Care Homes for Older People Page 8 of 26 food and the cook. We were also advised that visitors are made welcome, can see people in private and can come at any reasonable time. People said they are happy with the activities and routines at the home and were free to do as they wished. Procedures are in place that explain clearly how residents, or other people may bring concerns or any complaints to the managers attentions. One viisiting relative said she felt able to complain should she need to, and confirmed that whenever she had brough any concerns to the attention of the manager she dealt with the matters immediately. Care managers, and other relevant professionals from the local authority / health are actively involved with supporting people placed at the home under guardianship. The home employs a cleaner and the environment was being kept clean. There is a clear and ongoing commitment to staff receive training and development. The manager is committed to seeking the views of residents and acting on them as part of ongoing quality assurance and customer satisfaction. The manager declared in the AQAA a clear commitment to the ongoing improvement and development of services at the home, and the full involvement of people using the service. There were many new initiatives evident including a specific staff member to focus on interests and activities. This has improved activities and outcomes for people, other opportunites are also being made available including gardening, and where people are producing painting from their hobbies and interests these are being displayed in the home. What they could do better: 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 Care Homes for Older People Page 9 of 26 240 7535. Care Homes for Older People Page 10 of 26 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 11 of 26 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. Systems are in place to assess the needs and wishes of prospective service users. All service users are assessed prior to admission in order to ensure the home can meet peoples needs. The home does not provide intermediate care. Evidence: Assessment materials were in place and were relevant to the needs of people accommodated and the legal conditions of the services registration. Assessments were being carried out with prospective service users by competent trained staff. Care Homes for Older People Page 12 of 26 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. The service does not provide interim care. The service puts care plans in place for long and short stay residents to ensure their wishes are known and their needs are met. People access health care as they require. They are supported where needed. People are treated with dignity and respect and their right to privacy is protected and promoted. Evidence: Care plans were in place, were in use and were promoting good outcomes for people, and were assisting staff in promoting individual interventions, as well as consistency of practice and safety. People had access to all relevant health services external to the home, and were supported in maintaining their health and attending appointments when needed. There was evidence of good working relationships between management and staff at the home and the community health care professionals supporting residents.
Care Homes for Older People Page 13 of 26 Evidence: People are supported to be as independent as possible in such areas as selfmedication. Where this is assessed as being unsafe people are asked to pass over their medications to the home and this is recorded. Other residents may also choose to have the medicines managed by the home on their behalf if they wish. Where people are supported by the staff, systems are in place to ensure the safe, storage, administration and recording of medications. Staff using the homes medication administration systems are trained and do so safely. People were provided with the opportunity to self medicate unless assessed as being unable to do so safely. People spoken to said they were happy with the arrangements made. People said they feel they are treated with dignity and respect and their right to privacy is upheld and promoted. Care plans identified what people liked and disliked, and staff were observed promoting privacy, dignity and respect. Care Homes for Older People Page 14 of 26 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. The home ensures that the routines of daily living and activities made available are flexible and sufficiently varied to meet peoples needs, wishes and capacities. People are encouraged and supported to maintain links with the wider community where ever possible. People are able to have visitors at any reasonable time. Care is taken to run the home with regard to maximizing peoples capacity to exercise personal autonomy and choice. Where this requires extra support this is made available. Evidence: We found that people found the lifestyle experienced in the home matched their expectations and preferences. People were found to believe their social, cultural, religious and recreational interests and needs were being met. People were being supported and where needed encouraged to maintain links with family and friends from the wider community. Visiting arrangements at the home were found to be in line with the needs and wishes of the resident group.
Care Homes for Older People Page 15 of 26 Evidence: People were being helped and supported to exercise as much choice and control over their daily lives as possible. People were being provided with a wholesome, appealing and balanced diet in surroundings of their choice at convenient times to them. Where people did not like what was on the menu, alternatives were being offered. People were being consulted about menu planning at the home. Care Homes for Older People Page 16 of 26 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. People know that if they have any concerns these will be taken seriously by the home. The home has arrangements in place to ensure complaints are listened to, investigated and dealt with. People know they will be protected from abuse. People feel safe living at the home. Staff and management know what to do in the even of suspecting, or discovering abuse at the home. Evidence: Arrangements in respect of complaints and Safeguarding Adults were found to be in place. There had been no formal complaints made to the home since the last inspection. The home has clear procedures that are available on request in the home in respect of complaints. People told us they knew how to make a complaint, and who to speak to if they had any concerns. People said that staff and the manager listen to them and act on their feedback about the home. Care Homes for Older People Page 17 of 26 Evidence: There were procedures to guide staff and management in the area of safeguarding adults. These included protocols from the local authority responsible for safeguarding in line with national guidance No Secrets. Staff surveyed, and staff training records confirmed they had received safeguarding training at the home. People spoken to at the home said they felt safe and secure living at Greensleeves. Care Homes for Older People Page 18 of 26 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 home provides a safe and valuing environment for people. The home is kept cleaned to a good standard throughout. Evidence: The homes environment was found to be safe and providing a valuing environment for people. Action is taken to ensure equipment at the home was regularly serviced and safe to use. The home was found to be cleaned to a good standard. People told us they were happy with their home. Care Homes for Older People Page 19 of 26 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. Peoples needs are met by the number and skill mix of the staff team. People feel safe and were found be well supported and cared for. People are protected by the homes recruitment and selection processes. People can be confident that staff are trained and competent to do their jobs. Evidence: Eighty eight percent of the staff team is qualified to at least the national benchmark of NVQ level 2. The team has a good mix of skills, qualifications and experience, and people using the service said they were very happy with the staff and the manager, who was very approachable. Staff are employed in sufficient numbers to meet the assessed needs of current service users over any 24 hour period. Staff are provided with top up training relevant to their own and the needs of people using the service. Staff are subjected to a thorough recruitment process that includes all checks needed by law, to protect vulnerable persons living in care environments. Records, staff
Care Homes for Older People Page 20 of 26 Evidence: themselves and the homes annual quality assurance questionnaire all provided evidence to this effect. Care Homes for Older People Page 21 of 26 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. People live in a home that is well managed by a suitably trained and experienced person who is fit to carry on a care home. The manager and staff put residents first, and arrangements are in place that promote a service that is run in the best interests of people using it. The home does not get involved in any aspect of residents personal monies or their financial affairs. The home is managed in a manner that promotes and protects peoples wellbeing and their health and safety. Evidence: Mrs Sebastian is the registered manager and is qualified with the registered managers award. The manager is committed to consultation with people living at the home,
Care Homes for Older People Page 22 of 26 Evidence: relatives, other stakeholders and her staff team in respect of the running and ongoing development of the service. Peoples views are central to the homes Quality Assurance System. People said they felt they were listened to by the manager and the staff. The home does not manage or have any dealings in any persons personal monies, valuable possessions or financial affairs. The manager has put in place systems, policies and procedures, as well as staff training that promotes a safe environment. We made a tour of the premises and at the time of our site visit we found the home to be maintained safely. The manager has a plan in respect of the ongoing upkeep and maintenance of the home. People spoken to were found to be happy with their environment. The manager had taken action to ensure that all equipment in the home had been serviced, and the staff team have been trained to a good standard. Care Homes for Older People Page 23 of 26 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 24 of 26 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 Care Homes for Older People Page 25 of 26 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 © (2008) 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. Care Homes for Older People Page 26 of 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
