Inspection on 26/06/07 for Greenwood

This inspection was carried out on 26th June 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 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

Greenwood 01/06/06

Greenwood 27/02/06

Greenwood 22/09/05

Greenwood 28/02/05

Greenwood 06/10/04

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

CARE HOME ADULTS 18-65 Greenwood 16 Dalmeny Road Bexhill on Sea East Sussex TN39 4HP Lead Inspector Paul Stibbons Key Unannounced Inspection 26th June 2007 13:00 Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 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 Greenwood DS0000041681.V339815.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 Adults 18-65. 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. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greenwood Address 16 Dalmeny Road Bexhill on Sea East Sussex TN39 4HP 01424 210383 01424 730470 chris.davies@eastsussex.gov.uk www.eastsussex.gov.uk/socialcare East Sussex County Council 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) Vacant Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That a maximum of sixteen (16) service users are accommodated. That only service users with a learning disability are accommodated. That service users will be aged between eighteen (18) years and sixtyfour (64) years on admission. 1st June 2006 Date of last inspection Brief Description of the Service: Greenwood is run by East Sussex County Council (ESCC). It is a purpose built property on two floors, set in its own grounds in Bexhill-on-Sea. It is situated near to the town centre with its shops and access to main rail routes. Accommodated are a maximum of sixteen adults with a learning disability for periods of respite care or short-term care for periods up to six months. Service user accommodation comprises of sixteen single bedrooms, and there is a range of communal areas for service users to access. The majority of bedrooms and communal areas are on the ground floor. There is also a one bedroom self contained flat on the first floor which is currently used to provide more specialised respite care and meet the individual needs of one service user. A garden is at the side of the home and a central courtyard is accessible. Information about the service, including the Statement of Purpose, Service User’s Guide and CSCI reports is made available to prospective service users or their relatives, on request, as part of the admission process. The current range of fees per night at Greenwood, as of 1 June 2006, is £7.20 (Aged 18-24), £8.91 (Aged 25-60) and £13.49 (Aged 60-65). Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over a period of 3.5 hours in June 2007. A tour of the building was carried out and a variety of documents and records were examined. Discussions took place with the person in charge and a number of residents and staff members were spoken with. The focus of the inspection was on the quality of life for people who live at the home. What the service does well: What has improved since the last inspection? What they could do better: 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. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are comprehensively assessed prior to admission to the home and adequate information is available to ensure prospective residents that the home will be able to meet their needs and aspirations. EVIDENCE: The statement of purpose and service users guide for the home are both comprehensive and informative. A large notice board displays excerpts from the previous inspection report and summarises the findings in large print with the use of illustrations. Information about the facilities and procedures relating to stays at the home are displayed in an accessible format. Care plans viewed evidenced a pre-admission social care assessment had been carried out by the care manager. The home works within a respite services referral framework and conducts a home visit for supplementary information. There is a 6 week care manager review and the home conducts a 6 monthly review. The home has in place an annual review working paper where the planning for reviews is recorded. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 8 Resident spoken with confirmed that they were happy staying at the home and observations during the visit supported these comments. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessed needs and personal goals are reflected in individual care plans. Residents are consulted on, and participate in, all aspects of life in the home and are supported to take risks as part of an independent lifestyle. EVIDENCE: Individual plans viewed reflected the personal goals and changing needs of residents. Emphasis is on developing daily living skills of individuals. There is evidence in the plans of these having been reviewed. Appropriate risk assessments are in place to protect residents yet maximise independence. Monthly resident meetings and end of stay feedback sessions are used to inform the service of areas of possible improvement. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 10 Residents are consulted on many aspects of day-to-day living in the home and are encouraged and supported in participating in the daily routines of the home. Information of a confidential nature is securely stored in the office with only authorised access. Residents spoken with confirmed they are involved in menu planning and influencing leisure activities. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a range of activities that meet their occupational, leisure and social needs. They enjoy a healthy and balanced diet according to their choices. EVIDENCE: Residents’ social and leisure interests are identified and recorded in their support plans. Local residents who have work placements are supported in attending them whilst on a short stay at the home. Many of the residents attend local day centres and those spoken with said how much they enjoyed going. Within the home there is a variety of things to do including DVDs, music and karaoke, computers, games consoles, art and craft and sport, TV, sensory room, massage and manicure. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 12 There are also sessions called “Key moves” that are taught to develop daily living skills. Residents are supported in the community to attend pubs, library, clubs, discos, bowling, cinema, theatre and trips out. Residents are supported in maintaining contact with family and friends. Residents spoken with confirmed they made choices for the home’s menus and state that the food is good. Menus viewed were in pictorial format showing the preferences of residents and appear to be healthy and varied. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ physical and emotional needs are met. Residents’ are protected by the home’s policies and procedures for dealing with medication. EVIDENCE: Care plans viewed were clear about the support requirements for individuals and ongoing health needs are recorded. Medication is stored appropriately and administration records are legible and well maintained. As required from a previous inspection the home’s manager has reviewed (July 06) the home’s policy and procedure for taking medication outside of the home. Staff training logs examined evidence that responsible members of the team have received competence based training in dealing with medication. Two residents administer their own medication following a risk assessment for capability. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 14 Staff spoken with demonstrated a good understanding of residents’ needs and confirmed there are good communication systems in place. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 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 raise any concerns or complaints and receive positive responses to them. Residents are protected from abuse, neglect and self-harm. EVIDENCE: The home has a complaints and compliments log and clear procedures for raising any issues. Staff and residents spoken with were familiar with reporting or raising any concerns and would be comfortable in doing so. The person in charge states there have been no complaints since the last inspection. There is an illustrated booklet on display for residents around abusive situations and what to do if faced with the situation. The person in charge stated that all staff have received training around adult protection issues and it is also covered as part of the Learning Disability Awareness Framework training. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a safe and comfortable environment and the home is kept clean and hygienic. The home provides the necessary specialist equipment to maximise independence of the residents. There is ample personal and communal space to meet the needs of residents. EVIDENCE: The home is well maintained with satisfactory levels of cleanliness and hygiene throughout. Wide doors are fitted throughout the building enabling easy access for wheelchair users. There are sixteen single bedrooms of acceptable size and each is fitted with height adjustable washbasins to accommodate wheelchair users. All communal areas are safe and accessible, including the two lounges, a dining room and large activities area. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 17 Some of the bedrooms are lacking in personal displays and have a basic appearance. The person in charge explained that due to mainly short term stays residents, tended not to bring personal possessions with them and the home’s policy is to not place moveable pictures or ornaments in the rooms due to the behaviours of some residents who occasionally stay. Bedrooms occupied by long-term residents do reflect the interests and lifestyles of these individuals. There are ample toilet and specialist bathing facilities to meet the needs of residents. Specialised equipment provided is regularly serviced in compliance with regulations and guidelines. The laundry area makes use of commercial machines and residents’ washing was seen to be in individual baskets. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The individual and joint needs of residents are met by competent and qualified staff. Residents are protected by the robust recruitment policies and procedures of the home and appropriately supervised staff. EVIDENCE: The home maintains a staff training database that records training requirements and training that has taken place for individual staff members. Records indicate that 55 of staff have achieved an NVQ award. In addition the database records dates of formal supervision sessions and indicates these are on a monthly basis. Staff spoken with confirm that induction and LDAF training takes place as well as other relevant training to provide them with relevant knowledge and skills to competently perform their duties. Observation of the interaction between residents and staff clearly demonstrated a clear understanding by staff of individual needs. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 19 Staffing levels are dependent on the numbers of residents staying and their personal needs and is therefore flexible. On the day of this inspection there were sufficient numbers of staff on duty to meet the needs of residents. The majority of staff at Greenwood are permanent and others are sourced from a “Relief Register” where they have previous experience of working in the home. The home is currently recruiting for more permanent staff. Records show that the home makes all appropriate checks prior to employment including work history, references and CRB/POVA checks. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,40,41,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from effective management and their rights and best interests are safeguarded by the home’s policies and procedures. Effective quality monitoring of the service is in place including the views of residents and others. The health, safety and welfare of residents is promoted and protected. EVIDENCE: Due to the internal promotion of the registered manager, the home is currently being run by two resource officers. The person in charge states that the council is in the process of appointing a new manager to fill the vacant position. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 21 Effective quality monitoring systems are in place, including the Periodic Service Review that is undertaken by a member of care staff and monthly service monitoring undertaken by a Resource officer. Feedback is routinely sought through satisfaction surveys from residents, carers and relatives. Evidence of feedback was displayed on the communal notice board. The health and safety of residents and staff is promoted and the home conducts a regular health and safety audit. There is evidence of testing and appropriate checks on electrical/gas installations, portable appliances, fire, water temperatures and lifting equipment. Staff members have received appropriate training regards fire, first aid, food hygiene and COSHH. All accidents/incidents are recorded and reported. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 3 3 3 X Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 23 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 YA26 Good Practice Recommendations It is recommended some thought be given to improving the current stark appearance of many service users’ rooms. Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. Extracts may not be used or reproduced without the express permission of CSCI Greenwood DS0000041681.V339815.R01.S.doc Version 5.2 Page 25 - 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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