Inspection on 31/08/05 for Hope Green Residential Home

This inspection was carried out on 31st 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 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 10/01/06

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 SK10 4NJ Lead Inspector Joan Adam Announced 31 August 2005 09:00am 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. Hope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 Stage 4.doc Version 1.40 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 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 Rogerson Care home only 43 Category(ies) of Old age, not falling within any other category registration, with number (OP) 43 of places Hope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 43 service users in the category OP (Old age, not falling within any other category) for personal care only 2. The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 3. 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 Date of last inspection 11 November 2005 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 F51 F01 S65061 Hope Green V239195 310805 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 Hope Green since the company acquired the home in July 2005. This announced visit of the home took place over six and a half hours and was carried out as part of the yearly inspection process. A tour of the home was carried out and care records, fire records and staff training files were inspected. The service history of the home and the previous inspection report were read in preparation for the inspection. Before the day of the inspection comment cards for residents and their families were sent to the home and seventeen were returned completed to the inspector. A detailed pre-inspection questionnaire was completed by the manager to complete. Comment cards were also sent to the G.P for the home and to placement officers with social services. These were returned to CSCI and contained positive comments. Residents, visitors and staff were spoken to during the inspection. Four of the staff on duty, ten residents were spoken with during the inspection. What the service does well: Residents living at Hope Green continue to have their health care needs met to a good standard. Residents said that they liked living at the home and that they were satisfied with the care they received. All those spoken with were complimentary regarding the management and staff who worked there. Residents spoken with said that they liked living at the home. Bedrooms are personalised with residents’ own belongings such as furniture, photographs and ornaments. The staff working at Hope Green have been there for some time, are aware of the individual needs of the residents and have training to enable them to be competent and well informed. The manager at the home is experienced and competent. The atmosphere at the home is warm and welcoming. Residents said that “ the food is always good.” Hope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 Stage 4.doc Version 1.40 Page 6 Social activities are varied and residents can make choices as to how they spend their day. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 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 Hope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 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) 3,6 Assessment procedures before residents move into the home are thorough and allow family members to be part of the process of assessing needs. The home only admits those people whose needs are in keeping with the skills and knowledge of staff working within the home. EVIDENCE: Care plans of two recently admitted residents contained preadmission assessments. These had been carried out by the manager and were also supported by additional assessments carried out by other health or social care workers. The manager and other senior staff confirmed that the identified needs were discussed with family members as part of the admission process. The residents confirmed that the manager had visited them prior to their admission to the home and that they had visited the home before admission. Hope Green does not provide intermediate care Hope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 Stage 4.doc Version 1.40 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 standard(s) 7,9,10 Care plans in general at the home are detailed but two plans of care looked at did not address the changing care needs of the resident. Medication is being properly managed to protect the residents living at the home. Staff members working at the home are aware of the needs of the residents. EVIDENCE: Care plans were looked at for five residents. These contained detailed plans of care for personal hygiene, continence, mobility needs, tissue viability and nutrition, which states that the resident is a medication and diet controlled diabetic and details the fact that the resident is aware of the type of foods they can eat. There are also care plans in place for mental state, communication, pain, sleep, which states the time of rising and retiring. The social needs of the residents are documented and family involvement is recorded. Care plans are reviewed and evaluated on a monthly basis. Two of the care plans had been updated however no date had been recorded as to when the updated action was to be commenced. One resident had a long-term care plan in place, which stated that they have a tendency to overHope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 Stage 4.doc Version 1.40 Page 10 indulge in alcohol consumption. The care plan did not guide the staff as to how much alcohol the resident could have. The care plan had not been updated to fully reflect their present needs. There was no risk assessment in place to refer to why the resident’s alcohol consumption should be limited. (See requirement 1) Medication recording, management and storage were inspected. All medication administration records were completed correctly. Eye drops in use had been dated when opened. All drugs were stored correctly. Residents who live at Hope Green said that they liked living there and made comments such as “ Staff are lovely and you can have a good laugh with them” “ The home has a homely atmosphere” “ This is a nice home with pleasant surroundings” “ You can do your own thing” Staff were seen to knock on doors and wait before entering and to speak to residents in a courteous manner. Hope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 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) 12,15 Residents at Hope Green are able to choose how they spend their day. The residents enjoy a good and varied choice of wholesome and well presented meals. EVIDENCE: An activities co-ordinator is employed at the home and a list of activities was displayed in the entrance hall. Activities such as morning exercises, bingo, scrabble, quizzes, draughts, dominoes, trips out and one to one chats are available. Residents said that they especially liked that quizzes. Residents spoken with said that they could choose how and where they spend their day and some residents were seen to stay in their own rooms. The home has a varied menu on offer and resident’s comments about the food were positive. Some residents said that the “ Food is very good” “ The food is lovely” “ Food is good “ “ Food is excellent” Hope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 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) 16,18 Complaints at the home are dealt with in accordance with the company’s complaints policy and residents and relatives know who to raise concerns with. EVIDENCE: There have been no complaints made to the home or to CSCI since the last inspection. Complaints recorded at the home have been dealt with under the company’s complaint procedure. A copy of the complaints procedure is available in the service users guide. Residents spoken with said that they had no complaints and that they were aware of who to speak to if they were unhappy about any aspects of the home. Hope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 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) 19,26 Some items of furniture need to be replaced to ensure that residents live in a safe and well-maintained environment Residents’ rooms suit their needs. The home was clean and did not have any unpleasant odours. EVIDENCE: The home has a planned maintenance programme in place. New carpets have been laid in the corridors downstairs following redecoration and new curtains have been purchased for the dining room Replacement toilet fitments have been installed in bathrooms and some new laundry equipment has been purchased to improve the efficiency of the laundry service. New curtains have been purchased for the dining room Residents said that they liked their bedrooms and these are well personalised with their own furniture, ornaments and pictures. Hope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 Stage 4.doc Version 1.40 Page 14 The home has a number of cabinets within the en-suites that have melamine covering that is peeling off making them difficult to clean thoroughly. (See requirement 2) The home was clean and free from any unpleasant odours. Hope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 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) 27,29,30 Resident’s benefit from a service that provides adequate staffing levels and well-informed and knowledgeable staff. EVIDENCE: Staff spoken with had detailed knowledge of the needs of the residents in their care. The staffing numbers at the home are adequate to meet the needs of the residents. Duty rotas were seen and agreed staffing levels were being maintained. The new owners have increased the staffing numbers by one on each shift since they have purchased the home. The domestic and kitchen staff numbers have also increased by two members of staff daily. Staff said that they had received training in health and safety, moving & handling, fire, first aid, dementia care and food hygiene. Training is taking place in NVQ level 1 in domestic skills and NVQ level 2 in care. The manager and two deputy managers are undertaking NVQ level 4 in management. All training was recording in staff training files. The records of two recently appointed staff contained appropriate information to ensure that the residents are protected. New staff were provided with a formal induction that was in the form of a workbook, which is based on the recognised TOPPS induction. Hope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 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) 33,38 The management of the home maintain the safety of the residents living there. EVIDENCE: Residents living at Hope Green said that their opinions are listened to. Residents’ choices are recorded in the plans of care. A senior manager visits the home on a monthly basis, unannounced, and areas checked are health and safety, property and equipment and staffing issues. Discussion with residents and staff also take place. These visits and any resulting actions are recorded. A copy of the report is sent the CSCI office. Residents’ monies are stored individually and records of accounts are recorded. Accidents are recorded appropriately. Safety certificates were in place for items such as hoists and passenger lifts. The homes fire log showed that staff training in fire safety has taken place and been recorded. Hope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 Stage 4.doc Version 1.40 Page 17 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 x x 3 x x N/A 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 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 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 3 x x x x 2 Hope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 Stage 4.doc Version 1.40 Page 18 no Are there any outstanding requirements from the last inspection? 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. 2. Standard OP7 OP19 Regulation 15 16 Requirement Identified problems must be specified clearly within the care plan. Broken units within the ensuites are replaced Timescale for action 10th October 2005 10th 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 Good Practice Recommendations Hope Green Residential Home F51 F01 S65061 Hope Green V239195 310805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich Cheshire, 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 F51 F01 S65061 Hope Green V239195 310805 Stage 4.doc Version 1.40 Page 20 - 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. 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