Inspection on 04/01/06 for Greenview

This inspection was carried out on 4th January 2006.

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 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 Keith Hopkins Unannounced Inspection 4th January 2006 13:30 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.V275383.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V275383.R01.S.doc Version 5.1 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) irbgreenviewtconnect.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.V275383.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th June 2005 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 DS0000011790.V275383.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two and three quarter hours were spent visiting the home, during which time the opportunity was taken to look around the home, and to view records and policies. The inspector also spoke privately with two members of staff. Most of the residents were seen to be using the communal areas and several were spoken with briefly in the main lounge. Four residents were spoken with at greater length in private and the inspector was also able to speak with two visitors to the home. What the service does well: What has improved since the last inspection? What they could do better: Greenview DS0000011790.V275383.R01.S.doc Version 5.1 Page 6 The home has reviewed its training programme and needs to ensure that all staff have been trained in 1st Aid and Moving and Handling. 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 DS0000011790.V275383.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Greenview DS0000011790.V275383.R01.S.doc Version 5.1 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 the following standard(s): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous inspection. EVIDENCE: Greenview DS0000011790.V275383.R01.S.doc Version 5.1 Page 9 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 the following standard(s): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous inspection. EVIDENCE: Greenview DS0000011790.V275383.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 13, 14 and 15. Residents enjoy varied lifestyles and undertake activities of their choice. The provision of a wide range of opportunities for stimulation, through sound links with the local community, is appreciated by residents. EVIDENCE: At the time of the inspection two residents were enjoying playing a board game in the main lounge, and others were relaxing in their bedrooms. One resident was pleased to show the inspector some artwork that he had been undertaking in his room and confirmed his interest in looking after pot plants. Another resident said that she ‘liked reading books’ which were available to her. A care plan examined indicated that a further resident enjoyed walking, to the extent that he took a walk outside every day. Services provided by the home for residents who choose to make use of them include aromatherapy and nail care. Choice is also available to residents over their surroundings and everyday activities, with one resident saying that she had chosen the décor in her bedroom, and others saying they could go to bed when they wished. The inspector was informed that all residents had been able to spend time with their families and relatives on Christmas day, returning to the home at Greenview DS0000011790.V275383.R01.S.doc Version 5.1 Page 11 teatime, and that the home had a good level of contact with relatives and encouraged visitors. Two visitors to the home were spoken with. One said that their relative was ‘well looked after’, and the other that the home had been ‘wonderful’ when her relative had had an accident. Visitors are welcomed at any time, and the inspector observed staff interacting with visitors in a friendly yet professional manner. The home’s record of meals taken was examined and indicated a good variety of meals being provided. One resident said that the ‘meals are good’ and another that she had ‘no complaints about the food’. Greenview DS0000011790.V275383.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 16 and 18. The home has a suitable complaints procedure, which residents are aware of and feel able to use. Residents are protected through an adult protection policy and procedure known and understood by staff. 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. A member of staff interviewed confirmed her awareness of what to do in the event of a complaint being made and said ‘we have a procedure’. The inspector was informed that there had been no complaints to deal with recently. One resident said ‘I’m not complacent. I’d let them know if I had any complaints’, and other residents spoken with also said they were happy at the home. The home also has a policy and procedure relating to adult protection. Staff have been trained in this and confirmed their understanding of what to do in the case of suspected abuse. Greenview DS0000011790.V275383.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 19, 23, and 26. A comfortable clean and safe standard of accommodation with suitable bedrooms 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 with an adjoining dining area on the ground floor. Four 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. Environmental risk assessments had been undertaken for each room and had been last updated on 26th October 2005. The two residents who share the double room said ‘it suits us’ and that ‘we get on well’. Other residents also commented on how their bedrooms suited them. Greenview DS0000011790.V275383.R01.S.doc Version 5.1 Page 14 All areas of the home smelled pleasant and were cleaned to a high standard. There is a small attractive garden to the front of the building, and extensive grounds to the rear, containing a gazebo and other areas where residents may sit. Greenview DS0000011790.V275383.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous inspection. EVIDENCE: Greenview DS0000011790.V275383.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. The home is well managed with residents having a clear and accessible means of influencing policy and practice. Financial interests are safeguarded and residents’ welfare is promoted through sound policies and procedures. EVIDENCE: Both the owner and manager have a considerable number of years experience in senior capacities and there are clear lines of accountability within the home. Residents spoken with also all commented on how nice the home was, and are consulted formally regarding the services offered. This is by way of a ‘Service User Survey’, which forms a part of the home’s quality assurance cycle. It is understood that the home has no involvement in dealing with any resident’s financial matters, these being dealt with by families where needed. Greenview DS0000011790.V275383.R01.S.doc Version 5.1 Page 17 No immediately obvious hazards to health and safety were observed by the inspector during the inspection and staff commented that in general terms the building was a nice environment in which to work. A sample of policies and records required by regulation were inspected and were in order and up to date. This included the home’s fire and accident books. A resident confirmed that the fire alarms were tested on a regular basis, and a staff member interviewed was clearly aware of the procedure to be followed in the event of an accident. The home’s laundry is fit for purpose, and a staff member explained to the inspector how the home dealt with soiled linen, this procedure being satisfactory. Greenview DS0000011790.V275383.R01.S.doc Version 5.1 Page 18 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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Greenview DS0000011790.V275383.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? No 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. 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 OP30 Good Practice Recommendations The home should ensure that all staff are appropriately trained, including 1st Aid and moving and handling. Greenview DS0000011790.V275383.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hampshire Office 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 DS0000011790.V275383.R01.S.doc Version 5.1 Page 21 - 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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