Inspection on 31/01/07 for Hope Green Residential Home

This inspection was carried out on 31st January 2007.

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 10/01/06

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 31st January 2007 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 Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 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.V322490.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hope Green Residential Home Address London Road Adlington Macclesfield Cheshire SK10 4NJ 01625 871210 01625 858480 sandra@hopegreen.wanadoo.co.uk 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 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.V322490.R01.S.doc Version 5.2 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 Date of last inspection 10th January 2006 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. The current fees for the home are £485 to £839. This information was provided by the person managing the home. Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit took place on 31st January 2007 and took seven hours. It was carried out by an inspector of the Commission The visit was just one part of the inspection. The home was not informed of the date the visit was to take place, but a few weeks prior to the visit the manager was asked to complete a questionnaire to provide the inspector with some information about the service. The manager was also asked to distribute questionnaires to residents, relatives and health and social care professionals to help the inspector find out what they think of the home. Nine responses were received from residents and nine were received from relatives. All were positive about the standard of care in the home. Comments from residents such as “very happy with no concerns.” “ Staff very helpful and good to get on with” One relative commented “ I am very satisfied with the care my mother receives.” During the visit the inspector spoke with the acting manager, deputy manager staff residents and visitors. The premises and various records held by the home were looked at. Feedback was given to the acting manager and the deputy manager at the end of the inspection What the service does well: The home is well managed and provides good care to the residents living there. There is a quality assurance system in place which gains the views of the residents and their relatives. Comprehensive assessments are carried out and care plans are in place to ensure the home will be able to meet the residents’ needs. There is a good, friendly relationship between staff and residents and the residents said that they are treated with dignity and respect. Residents spoken with said that “ the home is good and staff are friendly” “ We have things to do and can make choices” The home provides a warm and friendly environment for residents and relatives in which to live and visit. Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 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.V322490.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments of people’s care needs are carried out before they move into the home so that residents know their needs can be met. EVIDENCE: The files of three newly admitted residents who had moved into the home in recent months were looked at. It contained assessments of dependency levels and likes and dislikes. There was evidence that relatives had been involved in the pre admission process. The pre-admission assessments had been carried out by the deputy manager. The home is not registered to take residents with intermediate care needs. Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social care needs are met by staff who enable them to maintain their privacy and dignity. EVIDENCE: The care plans of four residents were looked at. Care plans identified areas of need such as pressure area care, mobility, continence, nutrition, mental health needs and general dependency. The care plans contained sufficient information to provide care staff with the necessary information for them to look after a person’s needs. There was written evidence to confirm that care plans were being reviewed and evaluated regularly. The care plans seen showed that there had been consultation with residents or their families/advocates. Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 Page 10 The atmosphere at the home was warm and friendly and there was positive staff interaction with residents. Personal care was carried out in the privacy of the residents’ own rooms and staff were seen to knock on bedroom doors before entering. Comments such as “ the staff are really friendly” “ nothing is too much trouble” “ staff are friendly and nice” “ I like living here” were made by the residents. Medication management and storage arrangements were looked at and were satisfactory. The home used a monitored dosage system. Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines of daily living and activities available are flexible and varied to suit residents’ expectations, preferences and capacities. EVIDENCE: The home employs an activities co-ordinator. Activities on offer are board games, bingo, art groups and craft sessions. A physiotherapist visits the home to provide exercise sessions for any residents who wish to attend. The home has access to a minibus which is used to take residents out within the local community. Residents go out to lunch in the local pubs and cafes in the village of Poyton. One resident attends a local church every week. Menus in place at the home are varied however, following a residents’ meeting these are to be changed to include more choices for the residents. A new chef has been employed and residents said that the food was “ excellent” “ no problems at all with the food on offer” “ there is always a reasonable choice”. Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a complaints procedure in place and the residents are protected from abuse. EVIDENCE: The home’s complaints procedure provides appropriate guidance and information as to how to make a complaint. There have been no complaints made to the home or CSCI since the last inspection. A copy of the complaints procedure is displayed on the wall in the home. The home has an Adult Protection procedure (including Whistle Blowing), which complies with the Public Disclosure Act 1998 and the Department of Health Guidance “No Secrets”. The staff receive on going training on adult protection. Both staff members and the home’s training records confirmed this. Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Hope Green provides a comfortable environment for those living there and visiting. EVIDENCE: A partial tour of the home was undertaken. All the shared areas and a selection of bedrooms were seen. A good standard of décor was evident and the home was furnished to a good standard. Bedrooms were well personalised with residents’ own furniture, picture and ornaments. Since the last inspection some bedrooms have been completely refurbished with new carpets and furniture. A new electrical system has been put in to the home to replace the old one to maintain the safety of the residents. Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 Page 14 New radiators have been put in the dining room to improve the heating system. The outside of the home has been painted. New window restrictors and radiator covers have been ordered for areas throughout the home to ensure the safety of the residents is maintained. The home was cleaned to a high standard and residents spoken with said that the home was” always clean and fresh.” Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels and skill mix are sufficient to meet the needs of the residents, Residents are protected by the home’s recruitment practices and staff training EVIDENCE: There were adequate numbers of staff on duty to meet the needs of the residents living at the home. The home has an on going training programme and copies of courses undertaken were seen on the training matrix. Staff have undertaken training such as moving and handling, fire awareness, first aid, food hygiene, infection control, COSSH, safe handling of medicines and dementia. A training programme is in place to enable staff to achieve NVQ level two in care and fifty four per cent of care staff are qualified to this level. Good policies and procedures are in place for the recruitment of staff. Four staff files were seen and each contained evidence of an interview, two references and the necessary CRB checks having been obtained before the staff member commenced duties. Evidence was seen to show that all staff working in the home have had a Criminal Records Bureau check completed. Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, safety and welfare of the service users are protected. The views of service users are obtained to influence the running of the home. Staff are fully supervised EVIDENCE: The home has no registered manager at present, however the home is being managed by the deputy managers and a registered manager from another of the company’s homes’. Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 Page 17 Residents spoken with felt that the home was continuing to be run well by the two deputy managers and temporary manager. Staff at the home are supervised on a daily basis and formal supervision was given on a regular basis. Records of these supervised sessions were seen by the inspector. Residents’ finances are recorded appropriately and receipts of any purchases are kept. A quality monitoring system is in place and questionnaires are given to residents and relatives to gain their views on the home. Comments are collated in to a report and action taken to address any adverse comments. Resident, relative and staff meetings take place regularly and these are minuted. Health and safety matters are given good attention. There are policies and procedures in place and evidence that staff work in ways to promote the well being of residents. Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 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 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 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 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. 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. Refer to Standard Good Practice Recommendations Hope Green Residential Home DS0000065061.V322490.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V322490.R01.S.doc Version 5.2 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. 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!