CARE HOMES FOR OLDER PEOPLE
Russell Green Care Home 11 Stanhope Avenue Woodhall Spa Lincolnshire LN10 6SP Lead Inspector
Jean Cope Unannounced 14 July 2005 09.00 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. Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Russell Green Care Home Address 11 Stanhope Avenue Woodhall Spa Lincolnshire LN10 6SP 01526 352879 01526 354257 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) Russell Green Care Home Limited Mrs Linda Bright Care Home 18 Category(ies) of Old Age (OP) - 18 registration, with number of places Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 2.03.05 Brief Description of the Service: Russell Green is a privately owned and managed care home, registered for 18 older people. The home is situated in the large village of Woodall Spa and within close proximity of local shops and community services.The proprietors live on the second floor and run the home as a family type business. Because of this they are readily available day and night and they keep in touch with service users and staff on a daily basis. The home is well maintained internally and externally. Since taking responsibility for the home the proprietors have made extensive improvements in both the environment and the care practise. Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place with the assistance of the manager and co-proprietor. One inspector undertook the inspection spending six hours in the home. The inspector toured the building, spoke with many of the residents living in the home. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and tacking the care that they receive through the checking of their records, discussion with them, the care staff and observation of care practices. What the service does well: What has improved since the last inspection?
The proprietors have purchased equipment for the home and garden and have also purchased a vehicle, which allows them to transport residents, one of whom can be in a wheelchair, to follow leisure pursuits or to attend medical appointments. The home has an ongoing maintenance programme. New windows have been fitted. Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 Stage 4.doc Version 1.40 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. Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 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 Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 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) EVIDENCE: These outcomes were not inspected on this occasion. Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 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, 8, 9, 10 and 11 EVIDENCE: Each resident has a care plan which is reviewed on a regular basis. Care plans seen, recorded residents’ choices, likes and dislikes and gave a good picture of each individual person. There was evidence that when necessary, staff in the home seek the advice of specialist health professionals. A visiting community nurse said that she visits residents and offers care in the privacy of their own rooms, saying the home has a ‘lovely family atmosphere’. The nurse said that there are good working relationships with the home and the medical team. Medication was seen to be offered to residents appropriately and staff administering medication were given training on the management of medicines in June 2005. One resident prefers to look after their own medication and has been provided with lockable storage. Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 Stage 4.doc Version 1.40 Page 10 Staff were able to give a sensitive account of how they care for residents at the end of their lives, saying, ‘We want to keep residents comfortable, pain free and we sit with them and let them know that someone is by their side’. Six comment cards were received from relatives residents all of them saying they were pleased with the overall care their relatives receive in the home. Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 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, 13, 14 and 15 Residents are encouraged and supported in continuing their leisure pursuits. The food provided in the home is of good quality with plenty of choice made available. EVIDENCE: The home produces a regular newsletter, with June’s newsletter advertising a garden party with a barbeque and live music for residents and their friends and relatives to attend. Each resident is asked about the activities that they would like to participate in which is recorded, with the emphasis very much on individual preference rather than communal activities. A new vehicle has been purchased for the home that is suitable to offer wheelchair transport and the manager takes individual residents out on shopping trips, trips to the seaside or trips out for lunch. A communion service is held in the home on a monthly basis. Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 Stage 4.doc Version 1.40 Page 12 The home’s menu is rotated on a monthly basis and changed according to the seasons. The midday meal was well presented, offered choice, and residents said they had very much enjoyed it. Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 Stage 4.doc Version 1.40 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 standard(s) 16 Residents can be sure that any complaints will be dealt with quickly. EVIDENCE: Information received prior to the inspection, indicated that the home had had one complaint, which was dealt with within 28 days. Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 Stage 4.doc Version 1.40 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 standard(s) 19, 20 and 24 Residents benefit from living in a comfortable and homely home and are able to make their own room suit their needs. EVIDENCE: The home was comfortable and homely, cleaned and maintained to a high standard both inside and out. The proprietors are committed to an on going maintenance programme which allows a budget for new equipment to be purchased and improvements made to the home when necessary. Residents are able to bring items of their own furniture and belongings if they choose. Two residents had brought their small dogs with them. Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 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 and 30 Residents’ benefit from consistency of care from staff who know them well. Before new staff are employed, the views of residents are sought and taken seriously. EVIDENCE: The staff rota is organised so that there are two senior care staff on duty and a carer, plus the manager during the day. There is one staff member awake during the night, with one member of staff sleeping, but on call when needed. The staff group have worked in the home for some time, and the manager does not use agency staff. Recruitment files examined were found to be in order. Residents living in the home are also involved in the recruitment process for new staff. The managers are committed in seeking opportunities for staff to train to National Vocational Qualification Levels at two, three and four for senior members of staff. Staff said that they ‘enjoyed the training offered’. Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 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) 31, 32, 35 and 38 Residents benefit from a well run and managed home with the proprietors ensuring the safety of residents and staff by following good working practices. EVIDENCE: The owners/manager live in an apartment in the home and undertake the main management duties, with staff saying ‘it is a lovely home, I enjoy working here’. Another member of staff said, ‘the manager is supportive, kind and is always there for the staff’. Residents living in the home look after their own financial affairs. Information received by the Commission prior to the inspection showed that health and safety checks are undertaken on equipment used in the home, including fire equipment, electrical equipment, water temperature checks and gas installations checked. A fire lecture was given to staff in February 2005
Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 Stage 4.doc Version 1.40 Page 17 and fire bells and emergency lighting is checked on a regular basis to ensure that it is in good working order. Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3
COMPLAINTS AND PROTECTION 3 3 x x x 3 x x STAFFING Standard No Score 27 3 28 x 29 3 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 3 3 x x 3 x x 3 Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 Stage 4.doc Version 1.40 Page 19 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. 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 Good Practice Recommendations Russell Green Care Home C53C04 S60706 Russell Green V238228 140705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Unity House, The Point Weaver Road Lincoln LN6 3QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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