Inspection on 08/02/06 for Greystones

This inspection was carried out on 8th February 2006.

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

Greystones 22/08/06

Greystones 27/09/05

Greystones 09/03/05

Greystones 30/09/04

Greystones 04/03/04

Greystones 30/10/03

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

CARE HOMES FOR OLDER PEOPLE Greystones Hayesfield Park Bear Flat Bath Bath & N E Somerset BA2 4QE Lead Inspector Jon Clarke Unannounced Inspection 8th February 2006 09:30 X10015.doc Version 1.40 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 Greystones DS0000008150.V283645.R01.S.doc Version 5.1 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 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. Greystones DS0000008150.V283645.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Greystones Address Hayesfield Park Bear Flat Bath Bath & N E Somerset BA2 4QE 01225 317972 01225 317972 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) BCVS Homes Mrs Margaret Rose Watkins Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Greystones DS0000008150.V283645.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 26 persons aged 65 years and over requiring personal care only 27th September 2005 Date of last inspection Brief Description of the Service: Greystones is one of three homes owned and managed by Bath Centre for Voluntary Service, a registered charity. The home is an adapted older property located close to the local shops of Bear Flat and the amenities of Bath. It offers accommodation for up to 26 older people with residents rooms located on the ground and first floor with lift access. Seven of the rooms have en-suite facilities. There are very spacious lounges on the ground and first floor, a dining room. There is also a conservatory, which is used as an alternative dining area overlooking the attractive gardens that have ramped access. The main concern of our homes is the residents quality of life. The philosophy of our homes is to look after residents in a caring and sympathetic way, so that their privacy and dignity are respected and to encourage active independence where possible (From BCVS philosophy statement) Greystones DS0000008150.V283645.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over one day. As part of this inspection a number of documents were looked at including care plans, health & Safety records. There was also an opportunity to talk to residents about the quality of care provided in the home. A number of staff were also spoken with about the care they provide. There is now a new home manager following the retirement of the previous manager who had been the manager of the home for a number of years. To date the new manager has yet to be approved by CSCI and be registered as the manager of the home. What the service does well: What has improved since the last inspection? Following a recommendation form the previous inspection there are now plans to improve further the facilities for residents by the providing a toilet and shower if possible, which is suitable for wheelchair users. Greystones DS0000008150.V283645.R01.S.doc Version 5.1 Page 6 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. Greystones DS0000008150.V283645.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Greystones DS0000008150.V283645.R01.S.doc Version 5.1 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 the following standard(s): Standard 3 was looked at on the previous inspection and was met. EVIDENCE: Greystones DS0000008150.V283645.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 7,10 Care Plans generally provided the necessary information about the health and social care needs of residents so that staff could provide the appropriate care. The practices of the home help to make sure that residents right to be treated with respect are protected. EVIDENCE: Care Plans looked at showed a good level of detail about care needs and the personal care tasks needed. There was limited information about social interests and personal information giving a fuller picture of the individual and their lives. Risk assessments are completed with regular reviews so that they accurately reflect the situation of the resident. Dependency profiles are completed which give a history of care needs and so that the needs of residents can be continued to be met. Residents confirmed that they were “always” treated with respect. One resident stated that they didn’t feel “there were restrictions” on how they spent their day. Staff “always listen to what I have to say”. The limited routines of the home provide a necessary structure to the day but there is also a flexibility which respects individual choice “ I never feel I have to do something its always up to me”. Staff were observed treating residents with respect and in Greystones DS0000008150.V283645.R01.S.doc Version 5.1 Page 10 an appropriate way especially when offering assistance such as at mealtimes. Staff spoke very positively about the rights of residents to live their lives “as they want its their home” Greystones DS0000008150.V283645.R01.S.doc Version 5.1 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 the following standard(s): 13,15 Residents are able and encouraged to maintain their social contact with family and friends and the local community. The arrangements for meeting dietary needs are good making sure that residents receive an appealing and balanced diet. EVIDENCE: The home has an open atmosphere where visitors are welcomed and recognized by staff as important in maintaining relationships with family and friends. Residents spoke of how staff are always “friendly and welcoming” to visitors. Relative of a resident who was visiting at the time of this inspection also confirmed that they are always made to feel welcomed. A comment received by the home from a relative stated “ all the staff are very friendly and make you feel very welcome” another “very happy with the staff- friendly, caring and always concerned”. Menus of the home were seen and showed a varied choice with fresh vegetables daily. There was a good range of food available including vegetarian and the home is able to provide meals where resident has different dietary needs. A recent unannounced environmental health inspection (12/01/06) found no areas of concern and commented on the “high standard of cleanliness and good practice” Changes to the food provided in the home have been made following suggestions made by residents and in talking with Greystones DS0000008150.V283645.R01.S.doc Version 5.1 Page 12 the cook it was evident that she had real understanding of the likes and dislikes of the residents. Residents commented positively on the food provided “ always lovely” “good choice” “variety is good” A relative commented, “ The quality and suitability of food is excellent” The inspector was present during lunch and the meal looked appetising and well presented. There was relaxed atmosphere with staff available to give assistance to those residents who needed help. There was no record kept of meals served to individuals. Greystones DS0000008150.V283645.R01.S.doc Version 5.1 Page 13 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 the following standard(s): Standards 16 & 18 were looked at on the previous inspection and both were met. EVIDENCE: Greystones DS0000008150.V283645.R01.S.doc Version 5.1 Page 14 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 the following standard(s): The home provides an environment which is clean and hygienic. EVIDENCE: At the time of this inspection the home was clean and free from offensive odours. The home has policies and procedures in place about the safe use of chemicals and prevention of infections. The care staff are provided with protective clothing to reduce the risk of infection. Greystones DS0000008150.V283645.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The above standards were looked at on the previous inspection and were all met. EVIDENCE: Greystones DS0000008150.V283645.R01.S.doc Version 5.1 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35,38 The practices of the home generally help to make sure that the health, safety and financial interests of residents are protected. EVIDENCE: It is the policy of the home not to have any involvement in managing or controlling resident’s financial affairs. Resident’s personal allowance or money left by their representative is managed where residents choose for the home to assist with this money. Wherever possible residents are encouraged to manage their own affairs. Records of resident’s monies were seen and accurately recorded expenditure with signature of resident or two members of staff as required. Product Safety Data records were seen and Domestic Risk assessment which is reviewed yearly. Record relating to health & safety procedures were seen including Fire Systems: Fiore alarm weekly tests carried out, Emergency Lighting weekly. Annual Inspection and servicing of fire system last being 25/11/05. Fire drills Greystones DS0000008150.V283645.R01.S.doc Version 5.1 Page 17 are held regular with all staff last being 14/01/06. Risk assessments are undertaken regarding equipment and other safety areas: Handling Bodily fluids, Legionnaires Disease. In individuals care plan it was noted that they prefer their room door to be open during the night. This was discussed at the resident meeting and particularly safety of residents who have their room door open. It should be the resident’s choice however where this is the normal practice a door closure device must be fitted to be activated in the event of fire alarms sounding. Greystones DS0000008150.V283645.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 2 Greystones DS0000008150.V283645.R01.S.doc Version 5.1 Page 19 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. 1 Standard OP7 Regulation 15 (1) Requirement Ensure Care Plans provide full and detailed information about the social care needs of the individual. Where individuals choose to have room door open at any time a door closure device must be fitted. Timescale for action 08/02/06 2 OP38 4 (a) 23 (4) 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Greystones DS0000008150.V283645.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Greystones DS0000008150.V283645.R01.S.doc Version 5.1 Page 21 - 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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