Care Home: Greasbrough Residential Nursing Home

What the care home does well There is a good and committed staff team, which is working well together and with other professionals to provide a good standard of care to people who use the service. The premises are well maintained and well decorated and kept to a good standard of cleanliness. This helped to make the place safe, comfortable and pleasant. The day-to-day management of the home had improved. The new manager was providing good leadership to the staff team. This has helped staff to improve their practice as well as the overall quality of the service. What the care home could do better: Although the care planning system had improved and was much more robust, there is a need for staff to improve the way they carry out care plan reviews. They should be clear about the information they use to carry out such reviews and record them. This should help to understand and justify the outcomes of such reviews. The quality monitoring and quality assurance methods in use at the home had improved. We advised that the reports of the unannounced visits by the responsible individual (the owner) should be used more effectively as a tool for improving the management and overall quality of the service. Random inspection report Care homes for older people Name: Address: Greasbrough Residential Nursing Home Potters Hill Greasbrough Rotherham South Yorkshire S61 4NU one star adequate service 21/05/2009 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: Ramchand Samachetty Date: 0 8 1 0 2 0 0 9 Information about the care home Name of care home: Address: Greasbrough Residential Nursing Home Potters Hill Greasbrough Rotherham South Yorkshire S61 4NU 01709554644 01709559332 NONE Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Dr M. H. Husain,Mrs. J. M. Husain care home 60 Number of places (if applicable): Under 65 Over 65 60 0 old age, not falling within any other category physical disability Conditions of registration: 0 60 The maximum number of service users who can be accommodated is: 60 The registered person may provide the following category of service only: Care Home with Nuring, Code N. 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, maximum number of places 60 Physical Disability, Code PD, maximum number of places 60 Date of last inspection Brief description of the care home Greasbrough Nursing and Residential Home is registered to provide accommodation and care for up to 60 older people. The home is situated on the main road in the centre of Greasbrough, on the outskirts Care Homes for Older People Page 2 of 8 2 1 0 5 2 0 0 9 Brief description of the care home of Rotherham. Dr. M H Hussain, OBE and Mrs. J M Hussain own the home and the day- to- day management is entrusted to the home s manager. The building is on two levels and there are passenger lifts to facilitate access between the floors. There are bedrooms and communal areas located on both levels. The main lounge, the dining room and the kitchen are located on the ground floor. The laundry is based in the cellar. All bedrooms are for single occupancy and have en-suite facilities. There is a pleasant courtyard within the centre of the building and there are other garden areas. There is a car park to the rear of the home. There is a statement of purpose and a service user guide. These documents give more information on the home and its facilities. The fees charged as at 21 May 2009, were between £383.00 and £445.00 per week. Further information can be obtained from the home. Care Homes for Older People Page 3 of 8 What we found: This random inspection was carried out on 8 October 2009, staring at 10.00 and finished at 15.00 hours. The aim of this inspection was to assess the compliance of the service with the requirements and recommendations that were made following our key inspection of May 2009 and to assess the overall improvement in service provision, to the benefit of people who used it. We found that the new manager had improved the homes procedure and practice relating to the assessment of needs of people before they were admitted. Staff were able to get sufficient information about identified needs and were therefore better equipped in planning the individuals care and support. Care plans had been improved. They were based on identified needs and comprised of relevant actions to meet such needs. Care plans were reviewed regularly. However, there was a lack of information about how such reviews were carried out. Medicines management had improved. Records relating to the receipt, administration and disposal of medicines were appropriately maintained. People who lived at the home and relatives told us that they were satisfied with the arrangements for the provision of care and support. In particular, they stated that they were satisfied with the seating arrangements in the front lounge and that they did not think the use of this lounge affected the privacy and dignity of people. The manager and her staff confirmed that personal care was always provided in private. Staff said that they had been provided with training and guidance on the promotion of privacy and dignity and this benefited people in their care. We noted that social and recreational activities for people who lived at the home were organised on a monthly basis and information about each weeks activities was appropriately publicised within the home. The activities co-ordinator stated that she spent time consulting with people about their preferred activities and ensured that these were catered for. Social care needs were also included in individual care plans. Staff were observed spending more one-to-one time with people that they were caring for. People who lived at the home and their relatives said that they had taken part in various activities held at the home and social events in the locality. We also noted that meals were served in congenial settings and in a manner that promoted the dignity of people who lived at the home. The physical environment was well maintained. Both the private accommodation and communal areas of the home appeared clean, tidy and hygienic. People who lived at the home said that they found the place safe, pleasant and comfortable. We checked the management of complaints and safeguarding concerns and found that this was appropriately undertaken. The manager confirmed that the relevant policies and procedures had been reviewed and improved. We checked management arrangements of the service. The new manager explained that she had applied for registration with this Commission. She was well supported in her duties by an administrator and by the owner. The owner was completing reports of his Care Homes for Older People Page 4 of 8 monthly unannounced visits to the home. We advised that these reports could be used as a monitoring tool to improve the service. There were other quality assurance methods being used at the home and staff were using them with more confidence. This ensured that the overall quality of the service was appropriately monitored and improved for the benefit of people who used it. We were satisfied that the requirements and recommendations that we made at our last inspection had been complied with. What the care home does well: 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 5 of 8 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 6 of 8 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 1 7 Staff should record the information they use in reviewing care plans so that they can justify the outcomes of such reviews. The responsible person should improve the use of the reports of his unannounced visits to the home as a monitoring tool for the management and improvement of the service. 2 33 Care Homes for Older People Page 7 of 8 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. Copyright © (2009) Care Quality Commission (CQC). 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. 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