Inspection on 06/02/09 for Hope Green Residential Home

This inspection was carried out on 6th February 2009.

CSCI found this care home to be providing an Good service.

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 31/01/07

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 27/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Hope Green Residential Home London Road Adlington Macclesfield Cheshire SK10 4NJ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Joan Adam     Date: 0 6 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 22 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 22 Information about the care home Name of care home: Address: Hope Green Residential Home London Road Adlington Macclesfield Cheshire SK10 4NJ 01625871210 01625858480 sandra@hopegreen.wanadoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Maria Mallaband Ltd Name of registered manager (if applicable) Mr Vidiakoomar Appadoo Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 43 Date of last inspection Brief description of the care home Hope Green is a former private residence that has been converted into a care home to provide personal care for 43 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 Care Homes for Older People Page 4 of 22 care home 43 Over 65 43 0 Brief description of the care home entering residential care. The current fees for the home are #599 to #899. This information was provided by the person managing the home. Care Homes for Older People Page 5 of 22 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We made an unannounced visit to Hope Green on 6th February 2009. This was to assess if peoples needs were being met at the home. During the visit we spoke to the manager, some staff members and some residents. Before the visit the manager was asked to complete a questionnaire called an Annual Quality Assurance Assessment (AQAA) to provide us with up to date information about the home. Some of the comments we received and the information is detailed in this report. Feedback was given to the manager at the end of the visit. Care Homes for Older People Page 6 of 22 What the care home does well: What has improved since the last inspection? What they could do better: 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 22 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 22 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are assessed before they live at Hope Green so they know their needs can be met. Evidence: We looked at the AQAA which said that people who come to live in the home have a pre- admission asessment carried out so that the home knows what their needs are and if they can be met. We found this to be true.Care files for two residents who have recently moved in to the home were looked at. Assessments of their needs had been completed by the manager before they came to live at Hope Green so that they knew their needs could be met there. This information was used to write a care plan in conjunction with the persons input to let staff know what their needs were and how they could meet them. The home does not provide intermediate care so this standard does not apply. Care Homes for Older People Page 9 of 22 Care Homes for Older People Page 10 of 22 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this 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 live at Hope Green have their health,personal and social needs met in a dignified way. Evidence: We looked at the AQAA. This showed us that people who live in the home should expect to receive care in a way that they choose. We saw that each person has a plan of care, which gives staff clear instructions on how to provide care in a way which people preferred. There was evidence that the care plans are written with the person and these had been signed. People spoken with confirmed that this was true. A moving and handling assessment had been completed on each resident so that staff would know how to move them safely. A nutritional assessment had been filled in so that staff would know if the residents were at risk of loosing weight. Monthly weights were recorded. Choices were recorded such as when they liked to get up, where they spent their day and how their spiritual needs were met. Visits from other health care professionals such as G.Ps and district nurses were recorded so staff would know when these visits had taken place and why. The reviews were detailed as were the Care Homes for Older People Page 11 of 22 Evidence: daily records so staff would know what changes, if any, had been made. The atmosphere in the home was warm and welcoming and all staff were seen to be friendly and appeared to have good relationships with the people in their care. When spoken with staff were aware of peoples needs and their likes and dislikes. Residents spoken with said it is a lovely place to live the staff are really good the girls know what I like I cant fault the care. Medicines are managed well. Policies and procedures are in place for the safe management of medications and staff training has taken place so that staff are aware of their responsibilities regarding the safety of medicines in the home. The home uses a blister pack system for medication so that staff can see which medicines have been given out each day. All medication administration sheets had been completed. Care Homes for Older People Page 12 of 22 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 live at Hope Green are able to take part in a range of activities and mealtimes were a positive experience. Evidence: We looked at the AQAA which told us that the provision of activities on offer is varied and takes in to account the needs and wishes of the people who live in the home. When we visited we found this to be true. We found a varied activities programme was on offer each day for people to join in if they wish. When we asked people they said could choose to join in or not. Activities on offer are painting, drawing, daily excersises, quizes and bingo. People said they could go out to the local shops and cafes with a staff member to get their own shopping . I like to get my own toiletries we can go out in the minibus if we want to there is enough going on but I dont like to join in everything There is a varied menu on offer at Hope Green and the lunch looked good and appetising. The dining room has recently been redecorated with people who live at the home choosing the carpet, curtains and funiture. The tables were well laid out with table cloths, napkins and cruet sets. People spoken with said the food is really good we can have anything to eat if we dont like what is on the Care Homes for Older People Page 13 of 22 Evidence: menu the staff know what I like and dont like Care Homes for Older People Page 14 of 22 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peopel who live at Hope Green are confident that their complaints are listened to and staff have received tarining so that they know what to do to protect people. Evidence: We looked at the AQAA which told us that no complaints had been made to the home. It also told us that staff have received training in how to protect people rights and the complaints procedure. People spoken with said that they knew how to make a complaint. I would tell a member of staff or talk to the manager but I have had no need to complain People could be confident that their complaints would be listened to. The home had policies and procedures on the prevention of abuse and whistle blowing. The safeguarding procedure is how the local council and other agencies respond to alleagtions of abuse against vulnerable people. Staff have received training about safeguarding people from abuse so that they know how to deal with any incident or suspicion of abuse. Care Homes for Older People Page 15 of 22 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this 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 the services live in a well maintained environment, which is equipped to meet their needs. Evidence: We looked at the homes AQAA which told us that refurbishments have taken place following meetings with the people who live there so that they could have a say in what new carpets, curtains and furniture was to be purchased. We walked round the home and looked in all communal areas, bathrooms and some bedrooms. People who live at the home were spoken with and they confirmed that they had participated in choosing items of furniture. They said we had a meeting and looked at samples of carpets and curtains, we like the way it has turned out we are having the large lounge done next so we are waiting to look at colors for there it is good to be asked The decor of the home was of a high standard and each bedroom was well personalised. The home was cleaned to a high standard and there were no unpleasant odours. Care Homes for Older People Page 16 of 22 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 receive care and support from skilled staff that they like. Evidence: We looked at the homes AQAA which showed us that a variety of staff are employed to provide care and support to the people who live in the home and that the staff was recruited correctly. We found this to be true. We found that staff are supplied in sufficient numbers to meet peoples needs and people who live in the home said they thought that there was enough staff on duty on each shift. People said that if they needed help this was supplied quickly. the girls answer my bell when I ring the staff are wonderful all the girls are very helpful We saw that most of the staff working in the home have achieved a national vocational qualification in care. This shows that staff have had formal training to carry out their roles. We saw staff training is on-going and that all staff have received mandatory training in key subjects. This means that staff have been given the skills to promote peoples health and welfare. Care Homes for Older People Page 17 of 22 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this 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 home is well managed and the views of people who live, work and visit the home are listened to. Evidence: The manager at Hope Green has been in post for about eighteen months. He is registered with CSCI. He has vast experience and knowledge with regard the care sector. He has achieved CSS and NVQ level 4 in management. He is supported by a deputy manager who has achieved NVQ level 4. The organization who owns the home has a number of quality assurance systems in place designed to identify strengths and areas of improvements, these included audits for areas such as medications, care plans and the environment. Staff spoken with felt that the manager was supportive. The staff are supported by regular formal supervision sessions so that they can discuss their development and improve their skills and competence. Regular staff meetings take place for all grades of staff and minutes are taken. Care Homes for Older People Page 18 of 22 Evidence: Resident/relative meetings are also held on a regular basis and the manager has an open door policy. It was observed that the manager had a good relationship with people who live at the home and their relatives present on the day of the visit. Regular fire drills and staff training sessions are held to make sure staff know what to do in case of fire and there was a record of the names of staff attending. The AQAA gave us details of when equipment in the home had been checked and serviced to make sure that it continues to be safe and effective. Small amounts of residents monies are held in the safe and all transactions are recorded so people who live at the home know their money is safe. There is a robust recruitment system in place so that all staff employed have the correct safety checks so that the manager knows they are safe to work with elderly people. Care Homes for Older People Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 20 of 22 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 21 of 22 Helpline: 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 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 22 of 22 - 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!