Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 26/08/09 for Greetwell House Nursing Home

Also see our care home review for Greetwell House Nursing Home for more information

This inspection was carried out on 26th August 2009.

CQC found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

A good standard of health care is delivered by maintaining competent medical care practices. All people spoken with made generally positive comments about the care they received; one said ‘I like it here – I’ve no complaints at all’ and another said that he enjoyed sitting in the new seating area at the rear of the building in sunny weather. The staff group is well trained and knowledgeable about the people living at the home and how they prefer to be cared for. People are encouraged to make choices about their daily lifestyles and individual likes and dislikes are catered for. The expert by experience noted that people stated they felt happy and comfortable living at the home and had much praise for the staff.

What has improved since the last inspection?

New care plans have been implemented and are more detailed to enable staff to meet the needs of people. People now have individual nutrition assessments and the home receives regular visits from a pharmacist to check on medication storage and administration. A wide range of activities now takes place in the home and there have been outside trips. Relatives are encouraged to attend these. Staff members have been made aware of hygiene issues and there are stringent measures for infection control around the building. Improvements to the environment have included a new seating area outside and the dining room has been moved to a previous lounge area giving a more pleasant place to have meals and meaning that the two lounges are now next to each other and more accessible to staff. The filing system has been improved to give quicker access to information. New carpeting has been laid to rooms and corridors. There is a newly-appointed manager who has worked very hard to ensure that all policies and procedures are updated.

What the care home could do better:

Since the last inspection, much work has been achieved by the newly appointed manager, but some issues remain outstanding. Although we saw that the home was generally well maintained, the paint on the exterior of the building was peeling and the front garden area had some litter and rubbish in it. The downstairs bathroom tiles and the bath panel were worn and damaged in places, and must be repaired. There were unsightly exposed pipes under theGreetwell House Nursing HomeDS0000002600.V377389.R01.S.doc Version 5.2 wash hand basin and the combination of high ceilings and cream gloss paint gave an institutional feel. It is acknowledged that the manager has tried to improve the homeliness of these areas with paintings. Consideration must be given to using advocates for people who do not have any family contacts or support.

Key inspection report CARE HOMES FOR OLDER PEOPLE Greetwell House Nursing Home 70 Greetwell Close Lincoln Lincs LN2 4BA Lead Inspector Julie Western Key Unannounced Inspection 26th August 2009 02:36 DS0000002600.V377389.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) 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. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greetwell House Nursing Home Address 70 Greetwell Close Lincoln Lincs LN2 4BA 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) 01522 521830 F/P 01522 521830 Dr Sharaf Abd El Monem Salem Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25), Physical disability (1) of places Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only:Care Home with nursing - Code N To people of the following gender: Either Whose primary needs on admission to the home are within the following categories:Old age, not falling within any other category - Code OP 2. Physical disability - Code PD - maximum number of places 1 The maximum number of people who can be accommodated within the home is: 25 4th September 2008 Date of last inspection Brief Description of the Service: Greetwell House Nursing Home is a privately run, twenty-five bedded, Gothicstyle property situated in a quiet residential area in the centre of Lincoln, opposite Lincoln County Hospital. There is a regular bus service into the city and a shopping centre within half a mile. The home is a two-storey, Victorian building, which has been adapted and extended to provide personal and nursing care for up to twenty-five people of both sexes over the age of 65 years. The home is currently accommodating one resident over the age of 60 years with a physical disability. On the day of the inspection a total of 11 people were living at the home. Residents are accommodated in sixteen single rooms and six shared rooms. Two staircases and a passenger lift give access to the upper floor. Communally, there are three bathrooms, a shower room and three toilets. There is a garden to the side of the property and a limited car parking area to the side and rear of the property; in addition there is on-street parking. The manager confirmed that weekly charges made by the home for care ranged from: £360.00 - £446.00. Information about the service including a copy of the previous inspection report, fees and the home’s facilities is available from the manager’s office. Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means the people who use this service experience adequate quality outcomes. This was an unannounced visit and it formed part of a key inspection, focusing on key standards, which have the potential to affect the health, safety and welfare of people who use the service. Throughout this report the terms we and us refer to The Care Quality Commission (CQC). The visit lasted approximately four hours and we took into account previous information held by us including the previous inspection report, their service history and records of any incidents that we had been notified of since the last inspection. Before we made our visit the provider had returned the Annual Quality Assurance Assessment (AQAA). This gave us information about their own assessment of how well they are meeting standards and their plans to improve aspects of the service. We sent out surveys to people before we visited the service. The main method used to carry out the inspection is called case tracking, which includes following the care of a sample of four people through their records and assessing their care. We spoke to three people who use the service and saw rooms of those people who said we could and to three staff member. The manager was present throughout the visit and the proprietor was present for the discussion of the general outcomes at the end of the visit. The commission are trying to improve the way that we engage with people who use the services so that we gain a real understanding of their views and experiences of social care services. We are currently testing a method of working where experts by experience are an important part of the inspection team and help inspectors to get a picture of what it is like to live in or use a social care service. The term experts by experience used in this report describes people whose knowledge about social care services comes directly from using them. The expert met with seven service users and with two staff on their own. Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 6 What the service does well: A good standard of health care is delivered by maintaining competent medical care practices. All people spoken with made generally positive comments about the care they received; one said ‘I like it here – I’ve no complaints at all’ and another said that he enjoyed sitting in the new seating area at the rear of the building in sunny weather. The staff group is well trained and knowledgeable about the people living at the home and how they prefer to be cared for. People are encouraged to make choices about their daily lifestyles and individual likes and dislikes are catered for. The expert by experience noted that people stated they felt happy and comfortable living at the home and had much praise for the staff. What has improved since the last inspection? What they could do better: Since the last inspection, much work has been achieved by the newly appointed manager, but some issues remain outstanding. Although we saw that the home was generally well maintained, the paint on the exterior of the building was peeling and the front garden area had some litter and rubbish in it. The downstairs bathroom tiles and the bath panel were worn and damaged in places, and must be repaired. There were unsightly exposed pipes under the Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 7 wash hand basin and the combination of high ceilings and cream gloss paint gave an institutional feel. It is acknowledged that the manager has tried to improve the homeliness of these areas with paintings. Consideration must be given to using advocates for people who do not have any family contacts or support. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service have good information about the home in order to make an informed decision about whether the service is right for them. EVIDENCE: We saw the statement of purpose which contained good information including terms and conditions and contracts. The manager said it was currently being updated. The service user guide we saw contained useful information for people. It was in the form of a brochure and was in large print. The manager said that she or a senior member of staff always visited prospective residents at home or in a care setting such as a hospital to Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 10 undertake a thorough assessment of all their care needs. Records we saw confirmed this. We saw written admission records that were clear and gave staff all the information they needed to meet the needs of people. A resident we spoke with described how she had visited for the day before she was sure she wanted to move in permanently. A relative told us that they had not been given a choice of home by the social worker but that this place had felt homely once you got inside. A staff member described the admission process and the importance of making new residents and their families welcomed. Potential residents are encouraged to visit the home before making the decision to move in permanently. The home does not provide intermediate care. Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 11 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans are in enough detail to ensure that the care needs of people can be met. EVIDENCE: We saw detailed care plans, which described the health and welfare needs of people. Care records included admission details, assessments of daily living activities, personal history and moving handling assessments, risk assessments, care plans and daily reports. They also included social histories entitled ‘This is My Life’. Reference was made to the Mental Capacity Act but needs to be more specific to ensure that all mental health needs are addressed. Care plans were seen to have been updated regularly but were not always signed by residents or their families acting on their behalf. Advocates are not Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 12 used to assist people without regular family contact to understand their care plans. Records we saw showed that health care professionals such as GPs and chiropodists visit the home on a regular basis to attend to the health care needs of residents. People we spoke with said they were well looked after and that they felt that staff members would always try to give help when they needed it. Medication sheets we saw showed that appropriate records are kept. The pharmacist visited regularly, the last visit being 31st March 2009 and no issues were identified. The homes pre-inspection questionnaire evidenced that all nurses had undertaken medication management training. We saw staff carrying out their duties with kindness and sensitivity towards people, especially when attending to their personal needs. The expert by experience found that call bells were accessible to people and that staff were helpful, understanding and always knocked on their doors before entering. Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 13 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities are regular and are tailored to suit the individual needs of residents. People have a choice of meals from a balanced and varied menu. EVIDENCE: The previous inspection received showed that the home has a weekly activities programme, developed by the manager. We found that a variety of activities were planned, including entertainers, indoor games such as board and card games and trips to local pubs and shops. On the day of the inspection people were watching television or going out for a walk. People we spoke with all said they had a choice of whether or not to take part. Some told us they preferred to sit in a quiet lounge instead. They described a recent trip to a local farm park and showed photos taken of this event which were in a scrapbook. They also described barbeques held in the new seating area in the garden. Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 14 Staff members described how they celebrated St. Georges Day and Armistice Day with decorations throughout the building and suitable music and food. Clergy visit the home and offer services to those who wish to attend. The visitor said that in the afternoons there were often not enough staff members to take people out and the expert by experience confirmed that people had told her this. People we spoke with all said they enjoyed the meals served; one said the food was smashing and another that if you didn’t like what was on offer they would always make you something else. The menu for the week offered alternative choices of meals. The cook has food hygiene qualifications and was knowledgeable about the nutritional needs of service users on various diets. The expert by experience noted that people enjoyed the food and one said there was more than enough for him to get through. All service users spoken with expressed a desire for more activities and outings. Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 15 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The procedures for addressing complaints and for protection from abuse are clear. People and their families are confident that their comments and concerns will be listened to. EVIDENCE: People spoken with said they did not wish to complain but knew how to make a complaint. The home had an up to date copy of the Local Authority adult protection procedures; staff members said they had read it. The training programme showed that there had been training for staff on safeguarding people. Staff members spoken with knew what to do in the event of a serious concern. The manager said that residents and their families were regularly asked for their views regarding the running of the home. A resident said ‘If I had any concerns I would tell the manager’ and visitors spoken with said that they were given information on how to make complaints. Since the last inspection there had been no complaints. Staff spoken with confirmed that they had received training in safeguarding adults. The expert by experience found that people all said they would go to the manager if they had any complaints. Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although much work has been done, some areas of the environment are in poor condition and unsuitable for the needs of people. The poor décor in a bathroom and toilet areas are still institutional in appearance. The home does not have time allocated specifically for maintnenance. EVIDENCE: Although we saw that the home was generally well maintained, the paint on the exterior of the building was peeling and the front garden area had some litter and rubbish in it. The rear garden now has a seating area where people said they liked to sit and several people mentioned how much they enjoyed the barbeque parties held there this summer. Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 17 Recent improvements included redecoration of some rooms, new carpets to some rooms and corridors, a change of rooms between one of the lounges and the dining room, re-enamelling of the cast iron bath in the ground floor bathroom and new kitchen units. However, the downstairs bathroom tiles and the bath panel were worn and damaged in places, there were unsightly exposed pipes under the wash hand basin and the combination of high ceilings and cream gloss paint gave an institutional feel. Staff said that any maintenance issues were addressed by the maintenance personnel who are based at the sister home in Lincoln. The manager said that there was no designated period of time allocated to Greetwell House. The most recently recorded visit from the Environmental Health Officer requested that some of the kitchen units were replaced and this had been carried out. There were safety notices around the building to prevent the spread of infection and COSHH regulations were observed throughout. With the exception of one of the bedrooms the building smelled clean and fresh. The expert by experience observed that the bedrooms she visited were, although comfortable and well personalised, some were a little shabby and in need of decoration. The ground floor bathroom was very shabby and in much need of redecoration. The cast iron bath had been resurfaced. There is a lack of storage space. The wheelchairs and other equipment were stored in a haphazard manner under the staircase. Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff numbers are in sufficient quantity for them to be able to care for people but not to be able to take them out in the afternoons or spend quality time with them if they wish. Staff members are suitably trained, qualified and competent to meet the needs of residents. EVIDENCE: The daily staff rota we saw showed that in addition to the manager, there were two staff members for 11 people. The manager said this decreased to one staff member in the afternoons. People and staff members we spoke with all said that this meant that there were no trips out in the afternoons as there had to be at least two staff members in the building at all times and this included the manager. The home also employed a cook and a part-time cook, two domestic staff and maintenance staff who were based at the sister home but who could be called upon for repairs and gardening. Night staff carried out laundry tasks and the domestic staff members were responsible for ironing. Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 19 The manager said that four staff members had achieved the National Vocational Qualification [a nationally recognised qualification] with one working towards it. One staff member had NVQ level 3 with one working towards it. We spoke with the most recent staff member to be employed, who described how she had an interview, gave references and underwent CRB/POVA checks and a thorough induction course. We saw two staff records showing that statutory training had been undertaken and that staff received regular supervision. There were minutes of staff meetings; these had not been regularly held until the manager took up post and staff members commented on this. The manager said it was her intention to have more staff meetings. The expert by experience heard that staff sometimes felt really pushed and that in the afternoons there was often no quality time to spend with people. People said that staff did their best to sort things out and one said they were ‘worth their weight in gold and couldn’t do enough for you’. Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although the home is managed well enough to ensure that the health and safety of people are promoted, several issues still need addressing by the provider, including more staff in the afternoons, IT equipment for the manager and a transparent system of financial management, before the home can be said to be run in the best interests of the service users. EVIDENCE: The manager has been in post since April 2009 after being the senior night nurse at Greetwell House for many years. She has worked in the care Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 21 profession for 20 years. She is a trained nurse with a specialism in infection control and is undertaking the NVQ at level 4. People we spoke with all made positive comments about the way the manager ran the home, finding her approachable and supportive. A visitor said ‘The home is much better and more organised since she took over; she understands people and will help us if she can’. The manager was also the nurse on duty on the day of the inspection. This meant that she often had to break off managerial tasks in order to answer the telephone or to complete nursing tasks. There is still no computer equipment at the home and the manager said she had to bring her own laptop into work or take work home. People we spoke with said that they saw the owner but he didn’t say much to them. Finances are managed by the owner and records are based at the sister home in Lincoln. This system is currently being challenged. There is a quality assurance procedure, the most recent being a year ago. The results were discussed with the manager and owner and any issues addressed. There are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. The homes pre-inspection questionnaire evidenced that fire alarm, fire drills and emergency lighting checks have been undertaken. A check of the fire log was undertaken and it was found to be up to date. Other maintenance and service histories of all aids and adaptations are carried out as required by law. The expert by experience noted that none of the service users were aware of who the owner was. Of the manager, staff and people said although she was sometimes a little intimidating, she got things sorted out. Greetwell House Nursing Home DS0000002600.V377389.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 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 3 X 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 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 2 X X 3 X 2 Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes, 1 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 OP13 Regulation 12[2,3] Requirement Service users must have their wishes and feelings taken into account when making provision for involvement in the community and trips outside the home. This is to ensure their needs are met. The exterior of the building must be kept in a good state of repair and the garden areas need to be well maintained and kept free from litter. This is to ensure that the home is in a good state of repair and comfortable for residents to live in. The bathroom on the ground floor must be renovated to ensure that it is clean, tidy and hygienic for residents to use. OUTSTANDING FROM PREVIOUS INSPECTION Sufficient staff must be provided to ensure that the needs of service users can be met at all DS0000002600.V377389.R01.S.doc Timescale for action 27/11/09 2. OP19 23[2][o] 27/11/09 3. OP19 23[2][b] 27/11/09 4. OP27 18[1][a] 27/11/09 Greetwell House Nursing Home Version 5.2 Page 24 times, including when service users wish to go outside the home, or to spend quality time with them. 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 OP7 Good Practice Recommendations Where service users are unable to sign their care plans, or where they have no families, an advocate should be requested to assist them. This will demonstrate that service users have been involved with the development of their care plans. The management of the home would greatly benefit from the installation of a computer in order to access up to date information from the Commission and other professional agencies and to assist in the development of policies and procedures. 2. OP32 Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 25 Care Quality Commission East Midlands Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: 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 summary 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. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Greetwell House Nursing Home DS0000002600.V377389.R01.S.doc Version 5.2 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!