Inspection on 17/08/05 for Greenwood House

This inspection was carried out on 17th August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Greenwood House 29/07/09

Greenwood House 10/08/07

Greenwood House 18/09/06

Greenwood House 16/11/05

Greenwood House 16/02/05

Greenwood House 04/06/04

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

CARE HOMES FOR OLDER PEOPLE Greenwood House South Parade Peterborough PE3 6BG Lead Inspector Nicky Hone Unannounced 17th August 2005 @ 08:00 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. Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Greenwood House Address South Parade Peterborough PE3 6BG 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) 01733 569362 01733 569434 Peterborough City Council Mrs Susan Clayton Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (OP) 32 of places Dementia, over 65 years of age (DEE) 8 Physical disability (PD) 3 Dementia (DE) 3 Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to three service users aged between 60 and 64 years may be accommodated at any one time. 2. These three service users will fall within categories PD and DE only. Date of last inspection 16 February 2005 Brief Description of the Service: Within a few minutes walk of Peterborough city centre, Greenwood House is set in its own grounds at the end of a residential cul-de-sac. Service user accommodation is on two floors, and consists of 4 units. One unit is for 8 people with dementia care needs; the use of the other units is changing to increase the number of respite places, and to accept people who are admitted from hospital on an ‘interim care’ basis, as well as offering permanent care to frail elderly people. Each unit has its own lounge, dining-room, bathroom, toilet and kitchen facilities, and there is a laundry, main kitchen and staff facilities. The gardens are well kept and attractive, and one upstairs lounge opens onto a large balcony with garden furniture and an array of tubs and hanging baskets. The home is owned by Peterborough City Council: the management of the home transferred to Greater Peterborough Primary Care Partnership on 01 April 2004. There is a day centre which operates from a separate lounge in the building: the manager of the home is no longer responsible for the management of the day centre. Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of Greenwood House for the 2005/6 inspection year and was unannounced. The inspector arrived at the home at 08.00 so was able to observe the morning routines, talk to service users and staff and spend some time with the manager checking that the requirements from the last inspection had been met. What the service does well: What has improved since the last inspection? What they could do better: Residents are still not issued with a statement of terms and conditions which they agree with the home. A requirement has been made regarding this, as well as a letter being written to the Responsible Person. The arrangements for safe keeping of personal money belonging to residents are not satisfactory: a letter has been written to the Responsible Person regarding this. Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 Page 6 Although much work has been done on bringing the home to a reasonable standard of decoration, there are still areas which are looking shabby. 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. Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 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 standard(s) 1, 2, 3, 4 and 6 There is sufficient information available, which is kept up to date, for prospective residents to make a decision about whether the home can meet their needs. EVIDENCE: An updated statement of purpose and service user guide were sent to the CSCI following the last inspection. The manager explained that there is a copy of the guide in each room in a file so that when individual pages are reviewed or added, the pages can be replaced in each folder. Whenever possible, a copy is given to new residents before admission. Two care plans were seen: both contained detailed assessments of need which had been completed before the person was admitted, and there was a letter on both of the files confirming that the home was able to meet the person’s needs. The home does not have a statement of terms and conditions which is agreed with residents or their representatives. The manager said that a statement of terms and conditions of residence had been drawn up but was still being discussed. She had evidence of a number of times that she has tried to get this issue finalised. This issue has been outstanding in all Peterborough local Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 Page 9 authority homes since April 2002 when the Care Homes Regulations 2001 became law. The CSCI has written to the Responsible Person regarding this, and is seeking legal advice. Greenwood House does not offer an intermediate care service. Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 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 and 10 The home has a detailed and thorough system of care planning which ensures that the needs of the residents, including healthcare needs, are known to staff and can be met. EVIDENCE: Care plans seen contained detailed information about the resident’s needs. Evidence was available that most of the plans are thoroughly reviewed monthly and had evidence that healthcare needs are met. For example, a chiropodist visits the home and optician and dentist appointments are made as necessary. One person’s plan was not up to date. Records of the administration of medication in one flat were checked and were completed correctly. Topical medications such as creams should be stored separately to medications that are taken by mouth. Observation and discussion confirmed that residents are treated with respect and their dignity and privacy are upheld. Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 Page 11 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 and 15 Residents are satisfied with the activities that are offered, and with the food that is provided. EVIDENCE: Discussion with residents, the manager and staff, confirmed that the range and amount of activities being offered to the residents is increasing. An activity cupboard has been set up so that everyone knows where equipment is kept. One resident said there is plenty to do. New garden furniture has been provided and residents have enjoyed sitting in the garden for some of the activity sessions. Records to evidence that activities are carried out need to be improved. The setting in which meals are served has improved since the last inspection. Proper dining tables are now used in the flat where trestle tables were in use and tables were attractively set for breakfast with cloths and place mats. Residents spoken to were satisfied with the food that is provided: one resident described the food as “excellent”. A choice of main course and desert are given at lunchtime, with the choice being made the evening before, and a range of options is offered for tea. Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 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 standard(s) 16 Residents, relatives and visitors to the home are made aware of how to comment or complain about the service. EVIDENCE: Information about the way in which residents, relatives and visitors to the home can comment on or complain about the service provided is in the folders in each resident’s room, and in the reception area of the home. The manager has ensured that, as well as the recently introduced procedure from the Primary Care Trust, the information made available in the home contains contact details of the CSCI. Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 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 standard(s) 19, 20, 23 and 26 Residents live in a reasonably well maintained and comfortably furnished home which is kept clean and free from unpleasant odours. EVIDENCE: Several areas of the home have been decorated, including some of the corridors and lounge areas. The long corridor in one of the flats is in need of decorating as the wallpaper is peeling in places. The manager intends to get this done during the winter months. She has drawn up a plan for decorating which will be forwarded to the CSCI. Bedrooms seen contained varying amounts of residents’ personal belongings, depending on what the person wants in their room. The inspector was pleased to note that there were no unpleasant odours in any areas of the home. The majority of the home was very clean, except for one flat which was not quite as clean as the others. The manager said the Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 Page 14 domestic assistant responsible for that flat was on holiday, but she would ensure that other staff would carry out the work. Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 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 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) 27, 28 and 30 There are sufficient staff on duty, who have had relevant training, to make sure the residents are offered a good service. EVIDENCE: The manager reported that the staffing situation at the home has improved, with some new staff having been appointed, but there are still some vacancies. On the morning of the inspection there were sufficient staff on duty to meet the residents’ needs. Staff spoken to confirmed they have had training in a range of topics related to their work. Seven staff are currently undertaking a National Vocational Qualification (NVQ) in care and eight staff have been awarded an NVQ. The opportunity for staff to undertake this qualification is now available, with an intake for a few staff each time, twice a year. The target set in the National Minimum Standards that 50 of staff should have a qualification by the end of 2005 will probably not be met, but the home is making every effort to achieve this target as soon as possible. Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 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 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) 35 and 38 Residents are kept safe by health and safety issues being given a high priority. The system in place to deal with residents’ personal monies is not adequate to ensure residents’ interests are protected. EVIDENCE: Resident’s finances were discussed. One bank account is operated, with individual transaction records for each resident. There was no bank reconciliation being carried out. This arrangement does not adequately protect residents’ finances: the inspector has written to the Responsible Individual regarding the unsuitability of this arrangement. Records of staff training in fire safety awareness were seen: all staff have received appropriate training, including the night staff having been trained as fire wardens. Certificates to confirm that appropriate checks of systems and equipment (such as hoists, electrical equipment, gas and so on) are carried out are now available at the home and all are up to date. The record of tests of Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 Page 17 the fire alarm and emergency lighting systems were not checked at this inspection. Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 1 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 3 3 x x x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x 2 x x 3 Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 Page 19 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 2 Regulation 5 Requirement A statement of terms and conditions of residence must be agreed with each service user. This was a requirement following the inspections on 04 June 2004 and 16 February 2005: the timescales were not met. The redecoration of the home must continue (in particular the corridor identified during the inspection) to ensure that all areas are reasonably decorated. A plan of decoration must be sent to the CSCI within the timescale. Appropriate arrangements must be put in place for the safe keeping of money belonging to service users. Timescale for action 31 October 2005 2. 19 23(2)(d) Plan to be received by 31 October 2005 3. 35 13(6) and 16(2)(l) 31 October 2005 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 9 Good Practice Recommendations Medications for topical use (for example creams, eye drops and so on) should be stored separately from medications I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 Page 20 Greenwood House which are taken by mouth. Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 Page 21 Commission for Social Care Inspection CSC1, Capital Park Fulbourn Cambridge CB1 5XE 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 Greenwood House I03 I53 S35290 GREENWOOD HOUSE V242456 170805 STAGE 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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