Inspection on 13/04/07 for Greenview

This inspection was carried out on 13th April 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Greenview 03/10/06

Greenview 04/01/06

Greenview 10/06/05

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 Hampshire SO51 8JN Lead Inspector Marilyn Lewis Unannounced Inspection 13th April 2007 09:30 X10015.doc Version 1.40 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 Greenview DS0000011790.V331665.R01.S.doc Version 5.2 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 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 DS0000011790.V331665.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greenview Address Lockerley Green Lockerley Romsey Hampshire SO51 8JN 01794 341200 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) irbgreenview@btconnect.com Mr Bradford Miss Lee-Ann Whittaker Care Home 8 Category(ies) of Dementia - over 65 years of age (8), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (8), Old age, not falling within any other category (8) Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2006 Brief Description of the Service: Greenview is a detached property situated in a rural location in the centre of Lockerly village near Romsey, with only limited local amenities. The home provides accommodation and personal care for up to eight residents over the age of 65, some of whom have dementia or mental health problems. The accommodation is on two floors, ground and first floor, which are connected by a staircase. There is no passenger or chair lift in the home. There are a variety of aids and adaptations available to enable residents to move about more independently. Six of the bedrooms are single, five with an en-suite facility, and there is one double bedroom downstairs. There is one communal bathroom with a lavatory and a separate lavatory on the ground floor. Residents have access to the large lounge, which has a dining area at one end. There are large gardens at the rear of the home, with a large pond, a gazebo and areas where residents may sit. There is an upper floor to the home that is used as staff accommodation. The registered provider has a separate detached property in the grounds of the home. Information provided by Mr Bradford, the registered provider, on the 23rd March 2007 stated that the current fees ranged from £485 to £500 per week. Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report represents a review of all the evidence and information gathered about the service since the previous inspection including a site visit, which took place on the 13th April 2007. During the site visit the inspector toured the home and met with six residents, two staff members and Mr Bradford, the registered provider. Records seen included those for care plans, medication, staff recruitment and staff training. Mr Bradford and a senior carer assisted with the inspection process. What the service does well: The residents looked relaxed and good interaction was observed between staff and the residents. Residents said that they liked living at the home and felt that staff were caring and kind. Prospective residents and their relatives were given clear information about life at the home and were able to visit before making a decision about moving in. No one is admitted to the home without a care needs assessment to ensure the home can meet their care needs. Care plans contained the preferences of residents for participating in daily living activities such as what time they would like to get up and which food items they liked and disliked. Residents health care needs are being met with visits by GPs and other health professionals recorded in their daily records. Mr Bradford, the registered provider, said that the emphasis of the care provided at the home was to encourage and support the residents to live a full and active life. Records seen indicated that the home provides a good programme of activities for residents that includes visits to local theatres, barbecues in the grounds of the home and visits by entertainers. Therapists also visit to provide aromatherapy, reflexology and exercises. A resident said that they appreciated being able ‘to do as they wished’ and they also said that they enjoyed the activities provided and being able to sit and read newspapers or books. Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 6 All residents said that they enjoyed the meals provided at the home. Staff supported residents who needed assistance or prompting with meals in a very friendly, sensitive manner. Residents said that they liked their own rooms and the communal areas. Rooms seen looked clean and homely and contained many personal items including furniture, pictures and ornaments. The home’s lounge and dining area looked clean and well maintained and residents said that the chairs were comfortable. The home has extensive gardens with a large patio and seating area, vegetable plot and lawns. Residents said that they liked spending time sitting on the patio during the afternoons. Residents felt that any complaints would be taken seriously and acted upon quickly. Quality assurance systems are in place that allows the views of the residents and their relatives to be obtained on the quality of care provided at the home. Responses seen indicated that residents and their relatives were very satisfied with the care provided. What has improved since the last inspection? What they could do better: Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 7 Some risk assessments had been completed for residents’ daily living and social activities but further assessments were needed to minimise the risks to residents, particularly regarding the possibility of them wandering to the canal at the end of the garden. Recruitment records seen for one staff member indicated that the person commenced work at the home before a Protection of Vulnerable Adult (POVA) check had been completed to ensure the person was suitable to work with residents. Some staff members had not received training in moving and handling which could result in the safety of residents being put at risk. The registered manager has been absent from the home for some time and the registered provider who has been running the home has not kept the commission informed of the day-to-day arrangements for the management of the home. 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. The summary of this inspection report can be made available in other formats on request. Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their relatives are provided with good information about life at the home and are encouraged to visit before making a decision to take a place there. No one is admitted to the home without a care needs assessment to ensure the home can meet their care needs. The home does not provide intermediate care. EVIDENCE: The home has a Statement of Purpose and Service User Guide in place that gives clear information about life at the home, including staff experience and qualifications, the facilities available at the home and the complaints procedures. A list of social activities is included with the documents and a copy of the last inspection report is available on request. Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 10 A resident who has impaired vision said that the documents had been discussed with him during his preadmission assessment and on admission to the home. Each resident has a written contract giving details of the terms and conditions of residency at the home. The contract states what facilities are available at the home and included in the fees. The residents or their relatives had signed contracts seen during the visit. The contracts contained details of the fees charged for the resident. It would be in the interests of the residents for the contracts to be kept separately from the care plans, so that they were not accessible to staff and therefore offered more privacy and confidentiality for residents. The registered provider said that following an initial referral, relatives of the prospective residents were contacted and the services offered at the home were discussed. If the relatives thought the home would be suitable for their relative, the registered provider visited the person and a full care needs assessment was undertaken to ensure the home could meet their care needs. The registered provider said that the initial discussions were with relatives to minimise any distress to the person concerned. The prospective resident and their relatives were encouraged to visit the home and meet with residents and staff and see their room before making a decision about taking a place there. During the visit to the home staff were able to check that the information in the care needs assessment was correct and were able to review it in line with the home environment as necessary. Pre admission assessments seen for three residents were detailed and included information on the person’s dietary, personal care, social and emotional care needs. Information from the resident, their relatives and health professionals involved in their care was included in the completed assessment. The home does not provide intermediate care and therefore standard 6 does not apply. Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in the planning and review of their care plans, their health care needs are met and they feel they are treated with respect at all times. Residents’ health is protected by staff following safe procedures for the administration of medication. Daily living and social activities need further risk assessing to minimise the risks for residents. EVIDENCE: Care plans were seen for three residents. The plans included assessments for medication, mobility, continence, speech and hearing, diet and emotional state. The care plans showed evidence of review and gave guidance for staff, such as when one resident had a cold and cough, staff were instructed to give extra fluids and when the issue was resolved the plan was documented as Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 12 completed. Care plans had been signed by the residents and one resident spoken with said that she knew what was written in her care plan as staff had discussed it with her. Some risk assessments were contained in the care plans including for the risk of falls but further information and assessments were needed to ensure the risks to residents were minimised. Risk assessments were needed for a resident who went for a walk alone, for a resident who has impaired vision and for general daily living activities such as bathing. Discussions with staff indicated that staff were very aware of the risks for residents and had put systems in place to minimise the risks such as accompanying residents when they went across to the village green, but these were not recorded. Mr Bradford said that he did not want to restrict residents in living a full and active life and felt that risk assessments would be restrictive. Staff were already following unwritten risk assessments but completing and recording the assessments would ensure that all staff followed the same procedures to minimise the risks to the residents. Since the last inspection the home’s medication procedures had been updated and staff were no longer putting the tablets in pots before taking them out to the residents, providing a safer handling system. Staff dispensed the medication in the treatment room and took it directly to each individual resident. Staff waited until the resident had taken their medicine before signing the records to confirm they have administered the prescribed dose. Medication records seen had been completed appropriately. At the time of the visit none of the residents were responsible for their own medication. The medication procedures, although improved needed more detailed information for some aspects of dealing with medicines, such as when tablets are refused. Staff said that they would develop the procedures further to cover the aspects discussed. Information on medicines was out of date at the last inspection and the books seen were still out of date at this visit. However staff had obtained information on the prescribed medicines in the form of the leaflets supplied with the medicines and this was available for staff. Staff had received training in the safe handling of medicines from an external trainer. During the visit staff were seen to knock on doors and wait before entering rooms and they spoke to residents in a friendly and caring manner. Residents said that they felt they were treated with respect at all times and good interaction was observed between staff and residents. Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to exercise choice and control over their lives, receive visitors as they wish and participate in a wide range of activities both in the home and the community. Residents enjoy a choice of meals taken in a relaxed and pleasant environment. EVIDENCE: Residents said that staff allowed them to do ‘what they wanted to do’ and they were seen to make their own decisions about their daily lives such as where they would like to spend time, in the lounge or in their own room. The residents said that they were able to choose what time they got up and had breakfast and whether they went to the dining room for the meal or took it in their own room. They were also able to decide the time they would like to take a bath, with one resident choosing to bath after he had finished helping in the garden. The home has a programme of activities that includes visiting entertainers, such as musicians and a slide show was due to take place later in the day of Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 14 the inspection visit. Therapists visit to provide aromatherapy and reflexology and there is also a nail technician for hand and nail care. A physiotherapist provides residents with exercise classes. Staff at the home are involved in the activities programme and provide support to residents for making handicrafts such as table decorations and taking residents for walks in the local area and in the extensive gardens. Residents said that they also enjoyed spending time reading newspapers and books from the visiting mobile library. Care plans for one resident documented how the resident had been pleased to receive a letter from friends and that staff had assisted the resident to write and post a reply. The home arranges barbeques that relatives and friends of the residents are invited to attend. Relatives and friends also joined residents during a visit to a pantomime earlier in the year. The home has open visiting and records seen indicated that relatives and friends visited frequently. Residents said that they were able to receive visitors as they wish. Visitors wrote in the home’s diary if they were going to visit to take residents out for the day or for shorter visits such as going out for meals. One of the residents, who had spent his working life as a gardener, spent time helping in the garden of the home. The resident said that he really enjoyed being able to do this. Another resident has gone for walks in the village and surrounding area for some years and again he said that this was something he really wanted to continue to do. After lunch on the day of the visit some of the residents said that they would like to go and sit on the village green just opposite the home. Staff escorted the residents to the seats on the green and they enjoyed time sitting there and chatting to the neighbours. The registered provider said that the emphasis of the home was to support residents to be as independent as possible and did not want to put any restrictions on them being able to do what they wished to do. Care staff at the home prepare the meals for residents when the cook, who also works as a carer when needed, is not on duty. Staff who prepared meals had received training in food hygiene and records seen confirmed this. The staff member preparing the meals on the day of the visit said that she enjoyed the task. Residents said that the food was always good. The inspector joined the residents for lunch of fish, rice and vegetables with a sweet and sour sauce, followed by trifle. All the residents said that they had enjoyed the meal. Staff said that residents were told during the morning coffee break what the main choice of meal was for lunch and they were able to choose an alternative if they wished. During lunch staff were seen to support residents in a very sensitive and caring manner. Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 15 The home employs a number of young people who come into the home in the evening to give the kitchen a good clean. Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel that any complaints will be taken seriously and acted upon quickly and they are protected by staff awareness of the prevention of abuse. EVIDENCE: The home has a complaints procedure that indicates who will investigate the complaint and timescales for the process. The registered provider said that there had been no complaints in the last year. Three residents spoken with regarding how they would make a complaint said that they would talk to one of the staff members or the registered provider. The residents all felt that the complaints would be taken seriously and acted upon quickly. Staff received training in the prevention of abuse during their induction programme. Two staff members spoken with knew the procedures to follow should abuse be suspected and indicated that they would not hesitate to report any concerns to the registered provider. Residents said that they felt safe being cared for by staff and living in the home. Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Greenview provides a clean and homely environment for all who live, visit and work there. EVIDENCE: Greenview is a detached property situated in the centre of the small village of Lockerley Green. There are limited local amenities but the home is next to the village shop and the village green. Accommodation is provided on two floors, in seven single rooms and one double room. The single rooms are fitted with a hand basin and the double room has an en-suite toilet and hand basin. There is no lift so residents living at the home must be mobile and able to cope with stairs. This is clearly stated in the home’s Service User Guide. Some bedrooms are on the ground floor and Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 18 one of the residents who has visual impairment is accommodated in one of these, allowing them easier access to toilet and bathroom facilities and the communal lounge and dining area. The floor of the resident’s room was also kept clear, with most items such as chairs placed around the edge of the room. Staff said that when the resident was admitted to the home they required support to find their way around the home but now was able to walk around the home without assistance. The resident said that they felt they did not have any concerns now about getting around the home. Residents said that they liked their rooms and the rooms looked clean and homely and contained many personal items. Call alarms were provided in each room. Since the last inspection window restrictors had been fitted to windows on the first floor where they were needed. The home has a lounge with dining area and residents said that the furniture in the room was comfortable. Mr Bradford said that the lounge is due to be redecorated and fitted with a loop system, to assist residents who are hard of hearing. The home has one bathroom that is on the ground floor. The room also doubles as the medication room with the medicine trolley secured to the wall there. Since the last inspection the bath has been painted to cover the areas where the coating had worn away. Staff said that using the bathroom as a medication room did not cause problems with residents wishing to take a bath as the medicines only needed accessing at certain times of the day and this took a short time as there were only eight residents. Residents also said that they felt able to take a bath as they wished. Since the last inspection, care plans that were also kept in the bathroom, have been moved to an area of the hallway and are stored in locked filing cabinets. An upper floor of the home is used as staff accommodation for staff. At night staff ‘sleep in’ but can be alerted by residents using the call alarm system if they require assistance during the night. Residents and visitors are able to access the home via the front door or a side door. There is a door to the rear of the property that has high steps but staff said that residents did not use usually this entrance. The gardens of the home are extensive and include a large patio with seating and a barbecue area, a vegetable garden and large lawns that go to a line of trees and a canal. The registered provider, who lives in a separate property situated in the grounds, said that residents were allowed access to all areas of the garden. Risk assessments had been undertaken for the home and its environment. The assessments stated that residents would not have access to the grounds without the support of staff to minimise the risks to their safety. Staff confirmed that residents were always accompanied when out in the gardens and they also stated that the residents did not ever walk to the area Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 19 of the gardens bordered by the canal. Individual risk assessments should be completed for residents to ensure all risks are minimised. Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 20 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents’ needs are met by the sufficient number of staff employed at the home. The safety of residents would be improved if new staff members were not allowed to commence work at the home before at least a POVA First check had been obtained. Some staff have not received all the training required, such as moving and handling, to do their jobs. EVIDENCE: The home employs two senior carers who are trained nurses from overseas, a cook/carer and seven carers. Three young people are also employed for a shot time in the evenings and at weekends to assist with cleaning the kitchen. Two carers are on duty for each shift with rotas organised so that a third member of staff comes on duty to assist with lunch. The registered provider said that he is frequently available to assist if required. Staff said that they felt the staffing levels were sufficient as the residents were fairly independent and residents also said that they felt enough staff were on duty. Residents also said that they knew they would be able to contact staff at night by using the call alarm system. Staff said that when a new resident was admitted they made Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 21 hourly checks for the first few nights to ensure the resident was able to settle and could find their way around the home if they wished to do so such as to go to the bathroom. The home is currently running without the support of the registered manager and staff on duty knew who was to take responsibility for the day- to- day running of the home. The registered provider said that it was difficult to meet the standard requiring 50 of care staff to hold or be in the process of obtaining NVQ level 2 or above in care. The two senior carers are trained nurses in their home country but have not yet been assessed by an accredited NVQ assessor to determine the level of NVQ they could be awarded. Some staff members who were in the process of obtaining NVQ have left and some are working at the home in their gap year before going on to university courses and are not able to undertake NVQ courses at present. An experienced member of staff who has worked at the home for many years does not wish to undertake the training course. Records seen for a staff member employed at the home in the last six months contained all the information required including two written references, proof of identity and certificates confirming the qualifications held. Criminal Records Bureau (CRB) and Protection of Vulnerable Adult (POVA) checks had been undertaken but the results had not been received before the staff member started her induction programme at the home. The registered provider said that he had obtained a police check from the staff member’s home country and arranged for her to work supervised while waiting for the checks to be completed. However confirmation of the police check was not in the records. The registered provider said that new staff employed in the future would not start work at the home until at least a POVAFirst check had been completed to minimise the risk to the safety of residents. Staff spoken with said that they had good opportunities to attend training sessions and records seen indicated that staff had received training in medication, food hygiene and fire safety. Five carers had received training in moving and handling but three staff members who often worked together at the weekends had not yet attended training sessions. The registered provider said that training sessions would be organised for the three staff members as soon as possible. Four of the carers had received training in dementia care and another training course had been arranged for the other staff members for June. The training sessions were provided by the Alzheimer’s disease Society and staff said that they had found the training very helpful. Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 22 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered provider, in the absence of the registered provider, is running the home in the best interests of the residents. The safe working practices operated at the home protects residents’ safety. EVIDENCE: The registered manager has been on long- term sick leave and the registered provider is currently responsible for the running of the home. Mr Bradford must keep the commission informed of any changes to the management of the home. Staff said that they found the registered provider, Mr Bradford, very approachable and supportive. Residents said that they were able to speak with Mr Bradford at any time. Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 23 The registered provider said that a survey in the format of a questionnaire was completed on an annual basis to obtain the views of residents and relatives on the quality of care provided at the home. Information form the last survey completed indicated that residents and relatives were very satisfied with the quality of care. Meetings were not held for residents, relatives and staff but a newsletter was provided, usually four or five times a year, that kept them up to date with life at the home, activities programme and changes such as the recruitment of new staff. The home has a policy not to hold any money for residents. The fees cover all expenses except for hairdressing. The resident or the person responsible for their financial affairs is invoiced for the cost of hairdressing. Records seen indicated that staff were receiving regular supervision but the supervision was usually not on a one to one basis and records of the session were not kept other than the topic discussed such as maintaining dignity. The sessions took place in the home during a spot check by the registered provider. Mr Bradford said that he would make arrangements for the supervision sessions to be recorded and to provide one to one supervision sessions for staff to enable them to discuss their personal performance and any issues they may wish to include in the session. Staff said that they felt able to discuss any topics or areas of concern with Mr Bradford as they wished as he was frequently in the home. Records seen indicated that regular maintenance and servicing of electrical appliances, heating and water systems was taking place. Fire records confirmed that checks took place as required on fire safety equipment. Staff received fire safety training which included the completion of a fire safety questionnaire during their induction and at annual appraisals to ensure staff kept up to date with the positioning and use of fire safety equipment. The records also indicated that staff attended fire drills but records needed to be kept in a different format to ensure that all staff attendance at drills was recorded. Mr Bradford said that the method of recording staff attendance would be changed. During the visit staff were observed using safe working practices and hazardous substances such as cleaning fluids were stored safely. Staff had received training in infection control and protective clothing such as disposable aprons and gloves were readily available. The kitchen, which is domestic in style, looked clean and food was stored appropriately. The laundry room also looked clean and was in good order. Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 24 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 2 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 x 3 3 x 3 Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? YES 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 OP7 Regulation 13 (4) (b) (c) 19 Requirement The registered person must ensure risk assessments are completed for residents’ daily living and social activities. The registered person must ensure that at least a POVA First is obtained before new staff commence work at the home. The registered person must ensure staff receive the training required to do their jobs, including moving and handling. The registered person must provide the commission with information regarding the current day- to- day management arrangements of the home. This is an outstanding requirement of the inspection dated 3rd October 2006. Timescale for action 31/05/07 2 OP29 30/04/07 3 OP30 18 (1)(c) 31/05/07 4 OP31 39 31/05/07 Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Greenview DS0000011790.V331665.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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