Inspection on 14/10/09 for Greenways Residential Home

This inspection was carried out on 14th October 2009.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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

Greenways Residential Home 23/09/08

Greenways Residential Home 24/05/06

Greenways Residential Home 18/10/05

Greenways Residential Home 02/06/05

Greenways Residential Home 09/12/04

Greenways Residential Home 28/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 25/11/2009.

Annual service review Name of Service: Greenways Residential Home The quality rating for this care home is: The rating was made on: two star good service 2 3 0 9 2 0 0 8 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   Yes You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Annette Campbell-Currie Date of this annual service review: 2 8 0 8 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 6-8 Victoria Road Southwick West Sussex BN42 4DH 01273591573 Telephone number: Fax number: Email address: Provider web address:   clarkbrenda80@yahoo.com Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Mrs Brenda Clark Number of places (if applicable): Under 65 Over 65 0 15 The maximum number of service users to be accommodated is 15. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP). Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: The post of registered manager is now vacant. 2 3 0 9 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Greenways is a care home registered to provide personal care and accommodation for up to 15 older people. The property is detached and is situated in a residential area close to the centre of Southwick. Shops and other local community facilities are nearby. The majority of private accommodation is arranged on two floors. The upper floor can be accessed by a passenger lift, however four bedrooms on the middle mezzanine floor can only be accessed by steps. The majority of rooms are for single Annual Service Review Page 2 of 7 occupancy and have en suite facilities. Communal space consists of a lounge/dining room, a conservatory and there is a garden and patio to the rear of the house. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included:The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people interested in the service. Information we have about how the service has managed complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) which we received after the date it was due. The AQAA was completed by the husband of the registered provider and manager and gave us information about the service. Mrs Clark is the registered manager although she has told us that she has not taken such an active part in the day to day running of the home over the past twelve months. Mrs Clark has also told us that she has been trying to recruit a suitable person to manage the home in her place. We looked at the information in the AQAA and we sent out surveys to people living in the home, to staff and health and social care professionals to find out what people think about the service provided by the home. Thirteen people were living in the home when the AQAA was completed. The AQAA stated that the home ask people living there to complete a questionnaire at least once a year to find out how they feel about the service. The AQAA stated that all the forms that were returned to the home in July showed that people felt they were receiving a very good service. People have an assessment of their needs before a decision is made about them moving to the home and the person and their representatives are involved in this decision as well as staff from the home. People are invited to visit the home before they make a final decision about moving in. The AQAA states that each person has a Annual Service Review Page 4 of 7 comprehensive care plan that is reviewed monthly. People are supported to maintain their independence where possible. The home said that they liaise with healthcare professionals so that people receive the healthcare support that they need. Some activities are available in the home; bingo is held twice a month and other activities include music and movement, board games and watching videos at weekends. The AQAA states that the improvements made as a result of listening to peoples views include: changing the menu to include peoples choice of meal, making sure plates are kept hot, minor repairs in the home being carried out, the bath day and bed change rotas have been changed. The AQAA does not make clear whether or not people can choose to have a bath when they wish to. Eleven people living in the home returned surveys that we sent out; three people had completed these themselves, four people had completed the survey with the help of a relative and four people had completed them with the help of another person. People indicated that they always or usually receive the care that they need. Two people said they sometimes like the meals provided and two people made a comment to say that the meals are good. Comments people made include: Nothing seems to be too much trouble for managers and staff, generally staff are very helpful, friendly family type atmosphere. Willing to listen to suggestions in relation to care, The carers are usually happy with smiles, ready to have a laugh which cheers me up and What makes the home so special is the attitude, thoughtfulness and consideration given to the patients. Mrs Clark does not miss a trick and would be extremely reliable should an emergency arise. One person said they would like more activities and another said they would like more outings. One person said the system for the laundry could be improved. Two professionals returned surveys; one commented that: What dealings I have had with Greenways suggest they are a very caring home. The other professional said that the home usually provides the care people need: Staff at Greenways have interacted well with X I have been working with, they are both encouraging and supportive. Other comments included the fact that the home does not always inform them of changes and that the cleanliness and odour in the home could be improved. There is a complaints policy in the home and we were told in the AQAA that the home has received three complaints in the past twelve months that were resolved within 28 days. There was also information in the AQAA that West Sussex Adult Services department have investigated one safeguarding referral. We have received two complaints about the home from people wishing to remain anonymous. One complaint was investigated by staff from West Sussex Adult Services and a safeguarding strategy meeting was held. The outcome of this meeting was that Adult Services would take no further action. The other complaint was passed to us by Adult Services so that we could look at the concerns as part of the inspection process. Adult Services decided to take no further action at the time. In the AQAA the home told us that an equal opportunities approach has been taken to staff employment and training. They have said that the recruitment process is thorough and all the necessary checks are carried out before someone begins work. There is an induction and training programme. Five of the thirteen care staff have achieved the National Vocational Qualification (NVQ) in care at level two or above. Annual Service Review Page 5 of 7 Seven staff returned surveys and indicated that they receive the training and support that they need. Comments made by staff about the home include: Provides staff with lots of opportunities for courses and NVQ, Is well run and managed by a good manager, This home is run well. Supports everyone well and The home does well because it caters for everyones needs. In view of the two complaints that we have received we have changed our inspection plan in order to make sure everyone in the home is receiving the care that they need. What are we going to do as a result of this annual service review? Following the annual service review we have changed our inspection plan. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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