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Inspection on 23/11/05 for The Green Nursing Home (Hasland)

Also see our care home review for The Green Nursing Home (Hasland) for more information

This inspection was carried out on 23rd November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Assessments were obtained prior to admission, which will aid in the assessment process. Various activities were organised for the service users, which should enhance their quality of life. Basic Quality assurance systems were in place. These systems will assist the manager`s and company to measure the home against expected outcomes. The management of the home does comply with the requirements of the Care Homes Act.

What has improved since the last inspection?

There has been compliance to the requirements, except the redecoration of one room.

What the care home could do better:

There should be full compliance to the requirements within the specified timescales.

CARE HOMES FOR OLDER PEOPLE Green, The Nursing Home (Hasland) 45 The Green Hasland Chesterfield Derbyshire S41 0LW Lead Inspector Ivan Barker Unannounced Inspection 23rd November 2005 01:45 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 Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 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. Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Green, The Nursing Home (Hasland) Address 45 The Green Hasland Chesterfield Derbyshire S41 0LW 01246 556321 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) The Green Nursing Homes Limited Chrsitine Eluned Innes Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2 Day Care Date of last inspection 19th July 2005 Brief Description of the Service: The Green Care Home is situated within the village of Hasland, close to the centre of Hasland, which has numerous shops, park and a church. The home provides nursing and residential care for 40 service users. The home is purpose built and is fully accessible. There are two lounges, the smaller of which is designated as a quiet lounge. There is also a separate dining room. Outside there is a well maintained garden with a seating area for service users. Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on several of the ‘key standards’), and the previous requirements. The person present at the inspection was: Mrs C Innes, Manager. Within this inspection, which occurred over a three hour period, the inspector toured the building relating to the previous requirements, spoke with service users, and staff and examined some documentation. Within the Conditions of Registration, section of the report, it identifies that there are 2 Day Care. These places formed part of the registration under the Registered Homes Act 1984. The Commission for Social Care Inspection does not register Day care. Therefore the condition will be removed. What the service does well: What has improved since the last inspection? What they could do better: There should be full compliance to the requirements within the specified timescales. Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 Page 6 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. Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 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 Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 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): Standard 3. Accurate assessments will ensure that the home has sufficient information to be aware of the service user’s needs prior to admission. EVIDENCE: The home received service users’ assessments from the Social Services Care managers prior to the admission. The manager informed the inspector that the home only admitted planned admission, not emergency admissions. The manager or senior staff prior to admission to the home assessed all service users. Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 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): EVIDENCE: All key standards were assessed at the previous inspection. Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 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): Standards 12,13, and 14. Various activities were organised within the home, which would provide stimulation to service users and enhance their quality of life. EVIDENCE: The manager advised the inspector that the activities were co-ordinated by the care staff. She also informed the inspector that the activities included progressive mobility, which included movement to music, and bingo, which was undertaken by external volunteers. A carol service as well as an evening church service was planned. Service users were able to access the local village, being accompanied by staff or their relative or visitor. There was no restriction on visiting and visitors were able to visit in the communal areas or the service user’s own room, should the service user wish. The inspector discussed the provision of activities with 4 service users. He was informed that they were satisfied with the provision and were looking forward to Christmas. The service users had an alternative choice of meal. Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 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): Standard 16 and 18. As far as could be established the home took complaints seriously and acted upon the issues. The staff received training, on Adult Protection, which if implemented should make them more aware of Adult Protection issues and how to act should an allegation occur. EVIDENCE: The complaints procedure was displayed, and contained all the relevant information. The complaint book was examined and no complaints were outstanding. No one during the inspection asked to see the inspector to voice any complaints. The inspector received only positive comments regarding the home. Regarding Adult Protection, it was established by the examination of the training records that staff had attended adult protection training. Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 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): Standard 19. The environment, monitored at this inspection, had not been maintained to the required standard to provide a safe, well-maintained environment for service users, as the requirement relating to Room 12A still required attention. EVIDENCE: The key standards were assessed on the previous inspection. The previous requirements were assessed. All had received attention except for the redecoration within room 12A, and the provision of door locks. Therefore the requirement relating to décor was repeated. The manager was able to provide evidence that the service users had been offered the choice of a lock. The inspector will monitor this at the next inspection. Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 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): Standards 29 and 30. The necessary documentation designed to protect the service users were in the staff files. Staff had received moving and handling, fire and other training. An up to date workforce will contribute to the delivery of care. EVIDENCE: On examination of the staff files the inspector established that the files contained the required information as detailed within Schedule 2 and 4. On examination of the training records relating to Moving and Handling and Fire, the records indicated that all staff had received both Moving and Handling and Fire training. Also other areas of training had occurred. Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 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): Standards 31,33,35, and 38. The management of the home does comply with the requirements of the Care Homes Act. Quality assurance systems will assist the managers to measure the home against expected outcomes. EVIDENCE: A registered manager was in post. She had undertaken the necessary training regarding moving and handling, fire etc. The home had basic quality assurance systems, which were implemented by the manager. The home was achieving almost full compliance to the audit tool. The inspector discussed the benefits of producing a more critical analysis tool, which the home could strive to achieve. Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 Page 15 On examination of the staff supervision records, the inspector found evidence that supervision had occurred and was on target to achieve the six times a year supervision for each member of staff. Regarding the service users’ personal monies the home operated a basic credit and debit system. Regulation 26 visit occurred and there was documentary evidence to support this. As far as could be established there were no health and safety issues except if any were raised with the previous sections of the report. Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? YES 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 OP19 Regulation 16 Requirement The registered person must ensure that the service users live in a safe, clean, pleasant, and well-maintained environment. Therefore action is required to redecorate room 12A. Timescale for action 25/01/06 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 Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Green, The Nursing Home (Hasland) DS0000002084.V267754.R01.S.doc Version 5.0 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. 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