Latest Inspection
This is the latest available inspection report for this service, carried out on 18th May 2010. CQC 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.
For extracts, read the latest CQC inspection for East Green House.
What the care home does well The home provides a good range of information to people thinking of coming to the home, so they can make an informed decision. The home makes a full assessment of a person`s needs before deciding if it can meet all those needs. The home draws up plans to meet the care needs of its service users. (These are currently under reveiw.) Service user`s health care needs are also fully assessed and properly met. The home stores medicines safely, and administers them correctly and safely. Service users say that staff treat them well and treat them with respect. Service users are also encouraged to take as much control over their own lives as they are able, and make their own decisions. Without exception, the service users were very complimentary about the care that theyreceive, they were very happy with the care and support they receive, all were very happy with the accommodation. The home is kept clean and hygienic and free from odours. The staff team had very good knowledge of the service users care needs. The home is being run in the best interests of the service users. The health and safety of the service users and of the staff are protected by the home`s policies and systems. What the care home could do better: The care plan formats do not provide staff with enough space to fully record the service users holistic needs. A new format is currently being devised. The service does not have a structured programme for social activities. Implementing a detailed social assessment for each person will help to establish a meanigful social programme. The manager fully intends to implement a structured programme within the next month. Random inspection report
Care homes for older people
Name: Address: East Green House The Green West Auckland Co Durham DL14 9HH two star good service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jim Lamb Date: 1 8 0 5 2 0 1 0 Information about the care home
Name of care home: Address: East Green House The Green West Auckland Co Durham DL14 9HH 01388832218 Telephone number: Fax number: Email address: Provider web address: www.durham.gov.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Christina Barnett Type of registration: Number of places registered: Conditions of registration: Category(ies) : Durham County Council care home 39 Number of places (if applicable): Under 65 Over 65 39 0 old age, not falling within any other category physical disability Conditions of registration: Date of last inspection Brief description of the care home 0 8 East Green House is registered for 31 Older Persons not falling within any other category and 8 persons with a physical disability PDE. It is a well-established local authority home situated in the West Auckland community, close to amenities such as churches, clubs, pubs and shops, with good road and public transport links to Bishop Auckland, Durham and Darlington. All bedrooms are single occupancy. The home provides a range of individualseparate lounges on both the ground floor and the first floor, offering a wide choice for residents including smoking and non-smoking areas. A lift is provided between ground and first floor as well as stairs for the more able. The
Care Homes for Older People Page 2 of 11 Brief description of the care home home provides long term and respite short stay services. Dedicated accommodation is provided, together with specialised facilities, equipment and staff to deliver short-term intensive rehabilitation to enable residents to return home Intermediate Care. There is an attractive, well-tended garden to the rear of the home with seating and good access for the people who live there. Intermediate care is free for the first six weeks. Care Homes for Older People Page 3 of 11 What we found:
We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. How the inspection was carried out. Before the visit we looked at information we have received since the last visit, any changes to how the home is run, the providers view of how well they care for people. During the visit we talked with people who use the service, staff, visitors and the manager. looked at information about the people who use the service and how well their needs are met, looked at other records which must be kept, checked that staff had the knowledge, skills and training to meet the needs of the people they care for, looked around the building/parts of the building to make sure it was clean, safe and comfortable, and checked what improvements had been made since the last visit. We told the manager/provider what we found. CHOICE OF HOME. The care records for service users were looked at. These showed that the manager makes sure that a full assessment of a new service users needs is carried out by the persons social worker before they come into the home. The manager also carries out her own assessment, to be doubly sure that the home can meet all of the new persons needs. More detailed assessments are carried out once the new service user has come into the home. These include assessments of risk, of nutritional needs, social needs, moving and handling needs and of behavioural needs. Skin care assessments are also carried for those at risk of developing pressure sores. As a result of all these levels of assessment, the manager can clearly demonstrate that all the service users are in a home that can give them the care that they need. The homes service users guide is available on compact disc, and in a range of languages. All are provided with a contract explaining the homes terms and conditions, and fees. Intermedeate care is provided, all service users are properly assessed, including input from an occupational therapist, prior to admission to the home. The first six week assessment period is free. Care Homes for Older People Page 4 of 11 HEALTH AND PERSONAL CARE. There are systems in place that will ensure that the placement and the service users plans are reviewed annually. These involve the care managers and the service users representatives. The care plan format is currently being reviewed. The aim is to design a format that will clearly identify each persons holistic, personal and health care needs, and build in a clear evaluation section for each identified need. The service users confirmed that their privacy and dignity are respected at all times. Service users care records showed that they have access to external health care services. G.Ps visit when necessary. Service users are referred for specialist health care if appropriate. All service users receive regular health care checks. Those on the intermediate care assessment unit, receive excellent phyisotherapy and o/t support. The medication systems were examined for ordering, receiving, administering and disposal. The medication systems are managed well. All staff have had accredited medication training. Appropriate systems and procedures are in place for the management of controlled drugs. Staff who have completed relevant training administer medication. A sample of medication records was examined. These include photographs for identification purposes. Clear directions were recorded and each dose of medication was signed for, or a code entered to verify the reason not given. Privacy and dignity issues are built into the homes policies and procedures and staff training. All personal care and medical examination/treatment is carried out in private. Service users said that they are able to make decisions for themselves, and that they are happy with all aspects of the care that they receive. One person on the intermediate care unit said, The support is fantastic, the staff are superb, and the food is great. They have all looked after me so well, i may not want to go home. SOCIAL CARE. Each person should have a detailed assessment of their social needs that gives details of his/her background, lifestyle, routines and interests. The information should then be used to implement individual social care plans. Currently, the social care plan format does not allow enough space for staff to record each persons holistic social needs. Wherever possible, staff support individual needs and requests for one-to-one activities and outings to the local amenities within the village. Care Homes for Older People Page 5 of 11 The home lacks a well thought out activities programme. The manager intends to implement a detailed activies programme, and service users will be fully supported and encouraged to participate. The new programme will be displayed, and staff will be allocated specific times during the day to organise activites. Two service users are keen gardeners, and help in the garden daily. They have planted hundreds of summer bedding plants. With their help, the gardens look colourful and highly attractive. The home has an open visiting policy. Visitors are welcomed and can take refreshments. Service users confirmed that they can choose whom they wish to see and where to receive visitors. Contact with friends and family is supported through visits, telephone calls and letters/cards. Two visitors said they are always kept up to date with important issues affecting their relative. They were very happy with the care and support available. Another relative said, Nothing can be done to improve this place, it is tip top. One service user said, The staff are just great, nothing is to much for them, and they always have a smile on their face. Another said, This place is better than a 5 star hotel, i have no complaints at all. Some service users continue to manage their financial affairs. Where this is not possible they are assisted by relatives/representatives. The homes management does not take responsibility for finances, other than holding cash for personal spending. Service users nutritional needs are assessed and care planned where necessary, and weights are monitored. Special diets are catered for. These currently include low fat, diabetic and soft diets. Independent eating is encouraged, with use of aids if needed. The current menus showed that there is a very good choice of meals available. Menus are displayed. The inspector observed lunch. The tables were nicely set with cloths, placemats and full range of condiments. Hot and cold drinks were available. The meal was served at a leisurely pace, and staff were on hand to offer discreet help if needed. Service users told the inspector the food is always good. They confirmed choice of meals is offered. ENVIRONMENT. The premises maintain a very pleasant and homely atmosphere. All parts of the building seen were very clean and suitably equipped. Care Homes for Older People Page 6 of 11 The communal areas including all service users bedrooms, have been decorated to a high standard, and this makes these areas very homely and attractive. There is an ongoing programme of decoration and refurbishment, and toilets and bathrooms have been refurbished to a high standard. New dining room furniture has been purchased. Most areas throughout the home have new carpets and soft furnishings. The laundry facilities have also been refurbished. There is lots of photograghs of recent events and art work displayed around the home. The grounds are well maintained, professionally landscaped and are used regularly by service users. Service users spoke positively about the accommodation, all were very happy about the redecoration programme, and how nice the home looked. Overall, this is now a highly attractive environment that provides a comfortable and safe place for service users. The home has policies and procedures on hygiene and control of infection. Staff receive infection control training. There is suitable hand washing facilities throughout the building. Disposable gloves and aprons are provided for staff use. What the care home does well:
The home provides a good range of information to people thinking of coming to the home, so they can make an informed decision. The home makes a full assessment of a persons needs before deciding if it can meet all those needs. The home draws up plans to meet the care needs of its service users. (These are currently under reveiw.) Service users health care needs are also fully assessed and properly met. The home stores medicines safely, and administers them correctly and safely. Service users say that staff treat them well and treat them with respect. Service users are also encouraged to take as much control over their own lives as they are able, and make their own decisions. Without exception, the service users were very complimentary about the care that they
Care Homes for Older People Page 7 of 11 receive, they were very happy with the care and support they receive, all were very happy with the accommodation. The home is kept clean and hygienic and free from odours. The staff team had very good knowledge of the service users care needs. The home is being run in the best interests of the service users. The health and safety of the service users and of the staff are protected by the homes policies and systems. 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 2. Care Homes for Older People Page 8 of 11 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 9 of 11 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, 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 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 11 of 11 - 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!
