Inspection on 10/01/06 for Hope Green Residential Home

This inspection was carried out on 10th January 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

Hope Green Residential Home 06/02/09

Hope Green Residential Home 31/01/07

Hope Green Residential Home 31/08/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hope Green Residential Home London Road Adlington Macclesfield Cheshire SK10 4NJ Lead Inspector Joan Adam Unannounced Inspection 10th January 2006 09:00 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 Hope Green Residential Home DS0000065061.V274221.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. Hope Green Residential Home DS0000065061.V274221.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hope Green Residential Home Address London Road Adlington Macclesfield Cheshire SK10 4NJ 01625 871210 01625 858480 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) Hope Green Residential Home Limited Lynda Ann Rogerson Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43) of places Hope Green Residential Home DS0000065061.V274221.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 43 service users in the category of OP (Old age, not falling within any other category) for personal care only The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidance issued through the Commission for Social Care Inspection 31st August 2005 2. 3. Date of last inspection Brief Description of the Service: Hope Green is a former private residence that has been converted into a care home to provide personal care for 42 older service users. It is situated on the main Macclesfield/Poynton Road approximately one mile from Poynton town centre in a semi-rural location. Shops, churches, a health centre and a library are within easy access. Accommodation is provided mainly in single bedrooms although four large bedrooms can be used as double rooms if required. All bedrooms have en-suite facilities. Some day care can be offered to potential residents who are undecided about entering residential care. Hope Green Residential Home DS0000065061.V274221.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit of the home took place over six hours and was carried out as part of the yearly inspection process. Care records, fire records, staff personnel and training files and medication records were inspected. The service history of the home and the previous inspection report were read in preparation for the inspection. What the service does well: What has improved since the last inspection? Some bedrooms have been completely redecorated and new carpets curtains and matching bedspreads have been purchased. A health and safety assessment of the home has been completed by the company and areas identified such as the fire screens and fly screens in the kitchen have been replaced. An up dated risk assessment has been put in to place. A new health and safety booklet has been issued to all staff. Hope Green Residential Home DS0000065061.V274221.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. Hope Green Residential Home DS0000065061.V274221.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 Hope Green Residential Home DS0000065061.V274221.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): EVIDENCE: The key standards were looked at and met at the last inspection. Hope Green Residential Home DS0000065061.V274221.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): 7,8 Care plans are detailed and enable staff to care for the residents living at Hope Green. The home can demonstrate that the health care needs of residents are met. EVIDENCE: Care plans were looked at for three residents. These were of a good standard and improvements had been made since the last inspection. Life histories had been completed on each resident and care plans were in place for hygiene, continence, mobility, tissue viability and mental health needs. These had been up dated and reviewed on a monthly basis. The care plans had been signed by the residents or their relatives. Risk assessments were in place for moving and handling. Details of visits by other health care professionals such as GP’s and district nurses were documented in the care plans. Hope Green Residential Home DS0000065061.V274221.R01.S.doc Version 5.1 Page 10 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): 13,14 Residents can make choices and have control over their own lives. Residents have contact with the local community and can have visitors at any time. EVIDENCE: Residents’ choices were documented in the care plans. Residents said that they could choose where they spent their day. The home has an open visiting policy and relatives said they were always welcome. The home is close to Poynton and residents said that they often went shopping with the activities co-ordinator or their families. Pub lunches had been arranged before Christmas, which were enjoyed. A local theatre group had performed the pantomime “ Cinderella” and an “Old Time Music Hall” had been arranged for Easter. Hope Green Residential Home DS0000065061.V274221.R01.S.doc Version 5.1 Page 11 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): 18 Policies and procedures are in place to protect residents at Hope green from abuse. EVIDENCE: Up to date training has been completed at the home for all staff in adult protection based on Cheshire Social services “No Secrets” document. There has been one adult protection issue at the home, which has been dealt with appropriately by the manager. Hope Green Residential Home DS0000065061.V274221.R01.S.doc Version 5.1 Page 12 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): 19. Residents live in a safe and well-maintained environment EVIDENCE: The environment issues from the last inspection had been met. Since the last inspection five bedrooms have been completely redecorated with new carpets, curtains and matching bedspreads. The company has made a health and safety assessment of the home and issues identified have been met such as new fly screens and fire screens in the kitchen area. Hope Green Residential Home DS0000065061.V274221.R01.S.doc Version 5.1 Page 13 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): 28 A programme of training is in place to ensure that residents are in safe hands at all times. EVIDENCE: There is a programme at the home to ensure staff are qualified to NVQ level two in care. At the moment approximately forty per cent of staff are qualified to this level with a further seven staff members over half way through the course and a further six staff enrolled to commence the course from December 2005. Hope Green Residential Home DS0000065061.V274221.R01.S.doc Version 5.1 Page 14 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): 35,36,38 Clear individual financial records are in place for all residents living at Hope Green. Staff are adequately supervised. The management of the home ensures the health and safety of the residents. EVIDENCE: Formal supervision sessions for staff take place and supervision sessions are recorded. Clear individual financial records are in place for all residents living at Hope Green. Residents who live at the home feel that their opinions are listened to and that they can make choices as to how they spend their time. Hope Green Residential Home DS0000065061.V274221.R01.S.doc Version 5.1 Page 15 The fire log was checked and staff training in fire safety has taken place and was recorded. Further sessions are to be arranged. Risk assessments for the home have been up dated. The deputy manager has recently completed a course to enable her to train all staff in moving and handling. Hope Green Residential Home DS0000065061.V274221.R01.S.doc Version 5.1 Page 16 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 3 8 3 9 X 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 X 28 2 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 3 X 3 Hope Green Residential Home DS0000065061.V274221.R01.S.doc Version 5.1 Page 17 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 OP28 Good Practice Recommendations Fifty per cent of care staff must be qualified to NVQ level two as DOH guidelines. Hope Green Residential Home DS0000065061.V274221.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Hope Green Residential Home DS0000065061.V274221.R01.S.doc Version 5.1 Page 19 - 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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