Inspection on 10/06/05 for Greenview

This inspection was carried out on 10th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Greenview 13/04/07

Greenview 03/10/06

Greenview 04/01/06

Greenview 21/09/04

Greenview 14/07/04

Greenview 11/03/04

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

CARE HOMES FOR OLDER PEOPLE Greenview Lockerley Green Lockerley Romsey SO51 8JN Lead Inspector Keith Hopkins Unannounced 10 June 05 10:30 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 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Greenview Address Lockerly Green Lockerly Romsey SO51 8JN 01794 341200 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Bradford Miss Lee-Ann Whittaker CRH 8 Category(ies) of OP Old Age, MD(E) Mental Disorder over 65 registration, with number DE(E) Dementia over 65 of places Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 21.09.04 Brief Description of the Service: Greenview is set in a rural location in the centre of the village of Lockerly with limited local amenities being available. It provides residential care for up to 8 elderly residents, some of whom may have dementia. The home is on ground and first floors. There are a variety of aids and adaptations to allow residents to move about more independently. Six of the bedrooms are single, five of which having an en-suite facility, and one is a double. There is a communal bathroom with a toilet on the ground floor. There are large gardens around the building which include a gazebo and other areas where residents may sit. Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Four hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to the owner and a member of staff. Most of the residents were observed making use of communal areas, several were spoken with, and three residents were spoken with at greater length in private. What the service does well: What has improved since the last inspection? What they could do better: Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 6 The home needs to review its staff training programme to ensure that all members of staff have undertaken appropriate training courses. 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. Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3 and 6. The admission process is well managed with an assessment of needs being done to ensure these can be met. Residents are given clear information regarding the service to enable them to make an informed choice about where to live. EVIDENCE: The home has a comprehensive admissions policy with residents signing an admission procedure document. Two initial assessments were examined and contained a good level of detail regarding residents’ particular needs and wishes. Any special needs were well documented. One resident said that she had been attending the home for day care before deciding to enter the home on a permanent basis. There was evidence within the two files seen of a contract, signed by the resident, with the home. Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 9 The home does not admit residents for intermediate care. Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10. Residents are well looked after in respect of their health, medication and personal care needs, and have their privacy and dignity respected by staff. EVIDENCE: Care plans contain a good level of detail with a clear plan of action to meet assessed needs and are reviewed. Reviews are undertaken with residents who sign the review form if they want to. The two plans examined also contained information regarding access to specialist health care staff, and a nurse had recently visited the home following an accident, which had been recorded in the accident book. One resident said that her optician would visit her whenever she wished. The owner said that no residents are currently able to deal with their own medication, and written risk assessments confirmed this to be the case. There is a procedure for the dispensing of medication. Medication was securely stored and associated records were up to date. Observation during the inspection showed that staff have a good awareness of how to protect residents’ privacy and dignity. They were seen to knock on Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 11 doors and await a response before entering and spoke to residents in a respectful way. One resident said that she was ‘treated with respect’. Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12. Residents enjoy varied lifestyles and undertake activities of their choice at a time of their choosing. EVIDENCE: One resident particularly enjoyed gardening and was pleased to show the inspector the work he had undertaken. Another resident said that she liked going out for walks and a further resident was observed to be making use of the garden. One resident said that she went to a club for the blind on a regular basis. The owner confirmed that various in house activities were made available which included, for example, musical entertainment. Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16. The home has a suitable complaints procedure which residents are aware of and feel able to use. EVIDENCE: The home has a complaints policy and procedure and a clear notice of how to make a complaint was on display in a public area of the home. One resident said she had no complaints but that she would tell someone if he had. Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20, 21, 23, and 24. A comfortable clean and safe standard of accommodation with suitable facilities to meet residents’ needs is provided. EVIDENCE: The home is well maintained and suited to residents’ needs. It is decorated and furnished to a standard that creates a homely ambience and there is a programme of redecoration and refurbishment in place. There is a lounge/dining area with plans to make this larger. There is a communal bathroom with a toilet on the ground floor with five of the six single bedrooms having an en-suite facility. Three residents’ bedrooms were inspected and were adequately furnished and looked homely, as residents had been able to bring items of their own furniture and possessions with them. One resident said that she was pleased with her room. Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 15 All areas of the home smelled pleasant and were cleaned to a high standard. There are large and attractive gardens appreciated by residents, a previously identified trip hazard now having been removed. Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30. Staff at the home are soundly recruited and are employed in sufficient numbers to meet residents’ needs, although knowledge and skills in some areas will be enhanced through future training. EVIDENCE: The staff rota indicated there to normally be two carers on duty, in addition to the manager. There is a member of staff ‘sleeping in’ at night. A resident said there were ‘enough staff’. The two staff on duty were observed during the inspection to be providing assistance to residents in a kind and dignified manner. Two staff files examined indicated a sound recruitment process, and evidence of written references being obtained. A staff member spoken with privately said how much she liked working at the home. The owner informed the inspector that there were currently two staff who had obtained a National Vocational Qualification at Level 3, and one person at Level 2. The staff files examined confirmed attendance on a variety of short courses, although some staff need to update their training in First Aid and in Moving and Handling. Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 17 Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Outcomes for this group of standards were not inspected on this occasion. EVIDENCE: Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 x COMPLAINTS AND PROTECTION x 3 3 x 3 3 x x STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x x Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 20 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 Regulation Requirement Timescale for action 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. Refer to Standard 30 Good Practice Recommendations The home should review its training programme to ensure that all staff are appropriately trained. Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 21 Commission for Social Care Inspection 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Greenview v230849 h54 s11790 greenview v230849 20.06.05.doc Version 1.30 Page 22 - 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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