Inspection on 19/04/05 for Greenway House

This inspection was carried out on 19th April 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

Greenway House 09/06/06

Greenway House 05/09/05

Greenway House 05/10/04

Greenway House 23/04/04

Greenway House 11/01/04

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

CARE HOMES FOR OLDER PEOPLE Greenway House 103 Springhill Lower Penn Wolverhampton Staffordshire Lead Inspector Kathryn Marks Announced 19 April 2005 09.00 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. Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Greenway House Address 103 Springhill Lane Lower Penn Wolverhampton Staffordshire WV4 4TW 01902 330444 01902 621769 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) Mrs Deborah Roberts Margaret Davies CRH 12 Category(ies) of 4 DE(E) registration, with number 12 OP of places 7 PD(E) Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 5 October 2004 Brief Description of the Service: Greenway House is a twelve- bedded care home for elderly people situated in the Lower Penn area of Wolverhampton. The property was originally a private dwelling that has been tastefully converted to a care home. Accommodation is to a very high standard. Service users bedrooms are located on the ground and first floor, the first floor being accessed via a passenger shaft lift or staircase. All bedrooms have en/suite facilities are attractively decorated and personalised, all bedrooms have extensive views over the gardens and surrounding area. Residents,who wish to, have private telephone lines. Communal areas are bright and décor is maintained to a high standard. There is a large lounge with a conservatory off that leads into the extensive rear garden. Support services are in place with a choice of General Practitioners, district nurses visit the home as necessary. The chiropodist, dentist, optician, community psychiatric nurse, occupational therapist, physiotherapist, and dietician are all accessed as required. Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over one day on 19th April 2005. Prior to the Inspection the inspecting officer received responses to nine comments cards five from residents and four from relatives. All comments were of a positive nature and provided written evidence that residents who had responded were satisfied with the manner in which services are provided to them and care is carried out in the home. District nurse visited the home at the time of the inspection and spoke highly of staff and the observed care at the home. District Nurse confirmed that good relationships exist between the home and the health care team. Proprietor/Care Manager provided written information regarding staffing, staff training, menu and dietary provision that was observed by the Inspector to be in place at the home. On arrival at Greenway House individuals were completing breakfast some had breakfast in their bedrooms others had come down to the dining areas when they were ready. Inspector was greeted by residents and staff in a friendly manner and invited into areas of the home. Individuals were deciding on their daily routines and plans for the day one resident was going out with a relative. Resident’s accommodation is located on the ground and first floor. Observations of the Inspector were that the home was clean and maintained to a very high standard. Resident’s bedrooms were individualised with favourite personal possessions they had brought into the home with them. Greenway house had in place a statement of purpose and service users guide to inform residents of the services and facilities provided. All service users have a full assessment of their needs carried out prior to admission to the home. Arrangements are in place for meeting the health and personal care needs of residents and details are recorded in care records. Regular social opportunities are available for individuals who wish to be involved. Residents are provided with a choice of well-balanced and nutritious food prepared by a qualified cook who consults with individuals on a daily basis. Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 6 The home has a complaints procedure in place that residents were aware of and is given to them on admission to the home. The complaints procedure is also displayed in the home along with details of how to contact the Commission for Social Care Inspection. Staff at the home are experienced and competent to care for older people and were able to discuss diseases associated with old age. Appropriate recruitment procedures were in place and all staff prior to employment has Criminal Records Bureau and Pova checks carried out. The Inspector saw evidence of this at the time of inspection. What the service does well: What has improved since the last inspection? What they could do better: Individualised more detailed risk assessments. The home is to put in place as good practice at the homes suggestion a booklet for staff recognising and reporting abuse to compliment policies and procedures and staff training already available. Training to be updated for the control of infection this is currently being sourced. Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5, The homes Statement of Purpose and Service Users Guide provides prospective residents with up to date details of the services the home has to offer enabling an informed decision about admission to be made. EVIDENCE: The homes Statement of Purpose and Service Users Guide is given to residents and their relatives clearly describing the services and facilities the home is able to offer. All residents have a contract of terms and conditions of residence at the home a copy of which was seen by the inspector. A full assessment of individual needs is carried out prior to admission to Greenway House to ensure that the needs of residents can be suitably met. The prospective resident visits the home where possible and staff would visit the individual in their own home or current surroundings. The outcome of the assessment is confirmed to individuals in writing. Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 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) 7,8,9,10,11. The health, personal and social care needs of individuals is well met with evidence of good multi disciplinary working practices taking place. The systems for the administration of medication are good with clear comprehensive arrangements being in place to ensure resident’s medication needs are met. EVIDENCE: All residents had an individual plan of care that is divided into modules relating to specific areas. Risk assessments are carried out where required and are included on care records. All contacts regarding health and personal care are recorded in care records. The home provides a lockable facility for residents who self medicate currently there is one person choosing to self medicate. Detailed records are in place for the administration of medication all of which is securely stored Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 11 Policies are in place to inform staff of systems and procedures. All residents were spoken with and said they are treated in a dignified and respectful way. The home has in place a policy for death and the dying this is discussed with resident and their family at the time of producing the care plan. Two residents were case tracked, care plans were followed through and both residents were spoken with and personal accommodation seen. Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 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) 12,13,14,15. The systems for resident’s consultation in the home are good with a variety of evidence that indicates that resident’s views are sought and acted upon. There was a relaxed friendly atmosphere with individuals moving freely in and around the home. Links with the community are good. The meals in this home are good offering both choice and variety and catering for special dietary needs as required. EVIDENCE: Discussions with residents identified that they were content with the lifestyle they experienced at Greenway House visiting ministers meeting the religious needs of individuals. Choice is promoted by staff who consistently asked all individual residents to make informed decisions about their preferred daily routine. Food provided for residents was nicely presented, portions were generous and choice is offered at all meals. The dining room is attractive and overlooks the front garden. Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 13 The home has a full-time cook who discusses food preferences with individuals on a daily basis. There is a kitchen assistant employed who covers teatimes and a part-time cook covering weekends. Contact is maintained with all family’s residents going out into the community with them either shopping for a meal or to relative’s homes. Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 14 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) 16,17,18. The home has a satisfactory complaints system with some evidence that service users feel that their views are listened to or acted upon. EVIDENCE: There have been no complaints received about this home. Greenway House has a complaints procedure in place this is displayed in the hallway and contained in the Service Users Guide and Statement of Purpose. The home also has a record book to record any complaints made and how they were dealt with. Discussions with residents identified that they were aware of the complaints procedure and would know who to speak to should they wish to make a complaint. All residents have family support and are assisted by families to maintain their legal rights. Individuals will be using postal votes in the forthcoming election. Residents are protected from abuse by staff awareness and training, policies and procedures in place at the home. Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 15 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) 19,20,21,22,23,24,25,26. The standard of the environment within this home is good providing service users with an attractive and homely place to live. EVIDENCE: The home generally is well maintained and suitable for its stated purpose. Programmes of routine maintenance are in place with work identified having been carried out. Externally there are attractive grounds with level walkways and seating for residents. The home has twelve bedrooms all have an en/suite facility. Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 16 There are two assisted bathrooms and one shower room with a number of separate toilets located around the home. Specialist equipment is provided, as residents require. Bedrooms had been personalised by the individual occupying the room with favourite items they or their relative had brought to the home. Greenway House was clean attractive and free from offensive odour. Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 17 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) Staff morale is high resulting in an enthusiastic workforce that works positively with residents to improve their whole quality of life. The numbers of staffing levels training and skill mix were to a good level. EVIDENCE: At the time of this visit to Greenway House observations of staff identified that the staff on duty were as the rota and were sufficient in number to meet the observed needs of individuals in their care. Robust recruitment procedures are in place to employ staff Criminal Records Bureau checks are carried out along with POVA checks prior to permanent employment being offered. There is a staff-training programme in place with records being maintained. The home has joined up with another home in the area to work on NVQ training. Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 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) 31,32,33,34,35,36,37,38. The manager is supported well by the proprietors in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities, thus ensuring the Health, Safety and Wealthfare of residents is observed. EVIDENCE: As at the previous inspection the registered proprietor ensures so far as reasonably practicable the health safety and welfare of service users and staff. Safe working practices are in place and staff had received training in moving and handling, fire safety, first aid, food hygiene, and infection control. The training plan for staff identifies where training updates are required and this is being arranged. Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 19 The home stores hazardous substances safely, certificates for servicing are in place, electrical equipment, water temperatures and windows are all checked regularly. Externally there is security lighting and risk assessments are carried out on the building and also with regard to service users. The Care Manager has now completed NVQ Level 3 and is currently doing NVQ 4 and the Registered Managers Award. The home has appropriate insurance in place to ensure effective running of the business. Business and financial plan seen at the time of inspection. Records in place relating to the residents monies were accurate detailed and up to date. Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 4 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 3 3 3 4 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 21 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. 2. Refer to Standard 26 38 Good Practice Recommendations Infection control training to be updated Risk assessments should be individualised and provide more detailed information Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Greenway House E51 E09 S4948 Greenway House V216555 190405 Stage 4.doc Version 1.20 Page 23 - 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. 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