Care Home: Green View House

What the care home does well The home is well managed and run in the best interests of the people who live there. There is a very warm atmosphere and visitors who were arriving throughout the day were made welcome. The people who live at Green View House said they are very happy. People said they enjoy living there and said the staff do what people want in the way each individual prefers. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 People who live at the home said they are looked after well by the staff, they like it there and are happy and settled. The relatives we spoke with also said they are happy with the care and support the staff offer. The pre-admission assessments are thorough and make sure the home can meet people`s needs. The staff understand the needs and preferences of all the people who live at the home. People`s health is looked after and the staff have the skills and experience they need to do this. A visiting healthcare professional confirmed that the staff understand each person’s healthcare needs. The chef is knowledgeable about people`s particular likes and dislikes and any special diets they need, and makes every effort to give people the foods they will enjoy. People said they like the meals and each day’s menu is decided by the people who live at the home. There is good and friendly interaction between the people who live at the home and the staff. There were enough staff on duty to make sure they have time to spend with people in conversation as well as supporting people to take part in individual and group activities. All the staff said they enjoy working at Green View House and felt they were well supported by their manager. They all said the training is good and helps them to do their job well. The majority of the care and support staff have achieved, or are working towards, an NVQ in care at level 2 or 3 and a quarter of the care and support staff are currently at University studying psychology or nursing. The complaints and adult protection systems work well and people said they feel safe and understand what to do if they have a concern. The home has a wide range of quality assurance systems in place, to help determine the quality of service the home offers. These include surveys for the people who live at the home, their relatives and visitors and regular discussions with the people who live at Green View House and their relatives. The information and comments are used to help the management improve the quality of the service that is offered. The home is very attractive, clean and well maintained and everyone we spoke to said the home is always kept fresh and clean. What has improved since the last inspection? Green View HouseDS0000064138.V376860.R01.S.docVersion 5.2The home’s Statement of Purpose has been amended to show that the home will take emergency placements, if they have a bed available. Since the last inspection visit, the care plans have been improved to make them more consistent and easy for staff to use. Any information that is no longer up to date is kept in the home’s archives. There are risk assessments in place for all areas where any risk to the person’s health and well-being has been identified. These are reflected in the care plans. The range of activities that are offered has been developed further since our last visit. This means that there is now a wider choice of activities that people can choose to do, either as a group or individually. What the care home could do better: It would be advisable to re-organise the way controlled drugs are recorded in the controlled drugs book, as there were two books apparently in use when we visited, making it difficult to locate individual records. The acting manager should complete the process of registering with us and also begin studying for a relevant management qualification. Although all staff have one to one supervision meetings with the home’s manager, they are not as frequent as they should be. Supervision meetings support staff to plan their personal and professional development and should be held every two months. Key inspection report CARE HOMES FOR OLDER PEOPLE Green View House 34 Greenhead Road Huddersfield West Yorkshire HD1 4EZ Lead Inspector Liz Cuddington Key Unannounced Inspection 12th August 2009 10:50 DS0000064138.V376860.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Green View House Address 34 Greenhead Road Huddersfield West Yorkshire HD1 4EZ 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) 01484 306633 01484 300066 Green View House Limited Care Home 33 Category(ies) of Dementia (33), Mental disorder, excluding registration, with number learning disability or dementia (33) of places Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category 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: Dementia - Code DE, maximum number of places 33 Mental Disorder, excluding learning disability or dementia - Code MD, maximum number of places 33 The maximum number of service users who can be accommodated is: 33 4th October 2007 2. Date of last inspection Brief Description of the Service: Green View House is a care home with nursing. The home offers care and accommodation for up to 33 people who have a diagnosis of a dementia, or other mental health care needs. It is a large Victorian building, which stands within its own grounds, with a driveway and car park to the front. There is wheelchair access to the front of the home. There is a frequent bus route to Huddersfield town centre. There are two lounges and a spacious dining room on the ground floor. The home has 6 bedrooms on the ground floor, all of which have en suite facilities. There are 10 bedrooms on the first floor, three of which are twin rooms; all have en suite facilities. There are twelve bedrooms on the second floor, 4 of which have en suite facilities. There is a passenger lift, which serves the ground, first and second floor. Information about the home and the services provided are available from the home in the statement of purpose and service user’s guide. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. 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 current weekly charges are set at the local authority rates. Additional charges are made for personal expenses such as hairdressing, toiletries and chiropody. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Green View House. The visit to the home was carried out over one day by one inspector. The methods used to gather information included conversations with the people living at the home, their relatives, the staff and visiting healthcare professionals as well as looking at care plans and examining other records. We received the homes self-assessment questionnaire, which gave us a lot of useful information about the home and helped us form a judgement about the quality of service that is offered. We would like to thank the people who live at the home, their relatives and other visitors for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the service does well: The home is well managed and run in the best interests of the people who live there. There is a very warm atmosphere and visitors who were arriving throughout the day were made welcome. The people who live at Green View House said they are very happy. People said they enjoy living there and said the staff do what people want in the way each individual prefers. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 6 People who live at the home said they are looked after well by the staff, they like it there and are happy and settled. The relatives we spoke with also said they are happy with the care and support the staff offer. The pre-admission assessments are thorough and make sure the home can meet peoples needs. The staff understand the needs and preferences of all the people who live at the home. Peoples health is looked after and the staff have the skills and experience they need to do this. A visiting healthcare professional confirmed that the staff understand each person’s healthcare needs. The chef is knowledgeable about peoples particular likes and dislikes and any special diets they need, and makes every effort to give people the foods they will enjoy. People said they like the meals and each day’s menu is decided by the people who live at the home. There is good and friendly interaction between the people who live at the home and the staff. There were enough staff on duty to make sure they have time to spend with people in conversation as well as supporting people to take part in individual and group activities. All the staff said they enjoy working at Green View House and felt they were well supported by their manager. They all said the training is good and helps them to do their job well. The majority of the care and support staff have achieved, or are working towards, an NVQ in care at level 2 or 3 and a quarter of the care and support staff are currently at University studying psychology or nursing. The complaints and adult protection systems work well and people said they feel safe and understand what to do if they have a concern. The home has a wide range of quality assurance systems in place, to help determine the quality of service the home offers. These include surveys for the people who live at the home, their relatives and visitors and regular discussions with the people who live at Green View House and their relatives. The information and comments are used to help the management improve the quality of the service that is offered. The home is very attractive, clean and well maintained and everyone we spoke to said the home is always kept fresh and clean. What has improved since the last inspection? Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 7 The home’s Statement of Purpose has been amended to show that the home will take emergency placements, if they have a bed available. Since the last inspection visit, the care plans have been improved to make them more consistent and easy for staff to use. Any information that is no longer up to date is kept in the home’s archives. There are risk assessments in place for all areas where any risk to the person’s health and well-being has been identified. These are reflected in the care plans. The range of activities that are offered has been developed further since our last visit. This means that there is now a wider choice of activities that people can choose to do, either as a group or individually. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 8 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 View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 Standard 6 does not apply People using the 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 are assessed before they are admitted to the home, to make sure their needs can be met. EVIDENCE: The home’s Statement of Purpose has been amended to show that the home will take emergency placements, if they have a bed available. People said that they were given enough information about the home before deciding to move in, and they had also received a contract. Where possible the home encourages people and their families to visit and talk to the people who already live at the home, their relatives and the staff. The Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 10 home invites them to come and spend time there, share a meal and maybe take part in the days activities. This means that the home’s staff can get to know the persons needs and the individual has the information he or she needs to make a decision. Before moving into Green View House, peoples needs are assessed, to make sure that the home has the necessary equipment and staff have the skills to care for people properly. This assessment, as well as Social Services care needs assessments, forms the basis for the individual plan of care and support. The initial plan is developed within two days of admission. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 11 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People using the 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 personal and healthcare needs are met and the care plans accurately reflect peoples care and support needs. People are protected by the medication administration systems. Staff treat people with respect, care and consideration at all times. EVIDENCE: From observation and discussions with staff and people living at the home, it was clear that the staff are aware of each persons needs and preferences. The staff make sure they provide the help people need in the way they prefer. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 12 When someone moves into the home a plan of care is developed within the first two days. This is then built upon and improved as staff get to know the person better. Staff said they are always kept up to date with peoples changing needs. Three care and support plans were looked at, to make sure that peoples health and personal care needs are being met in the way the person prefers. The plans cover each area of the individuals care needs, emphasising any special needs the person may have. The manager said that the people who live at the home and their families are invited to go through the plan and agree any changes. We saw evidence to show that this is happening. Also, the staff review each part of the plans every month, to make sure they reflect peoples current care and support needs. These reviews confirmed our observations that the staff are fully aware of everyones needs and are offering the level of care and support each individual needs. The plans include risk assessments and management plans where someone is at risk of falling, becoming malnourished, injuring themselves or any other area the staff feel may put the individual at any risk. The issues identified in the risk assessments are reflected in the care plans. Healthcare visits and treatments are recorded in detail and everyone who commented said they always receive the healthcare they need. One healthcare professional said that the staff are very knowledgeable about each person’s care and support needs and the care plans are always up to date and reflect people’s current needs. She said the staff always have the time to spend with people and they are calm and patient at all times. The healthcare professional’s views confirmed our observations that the staff are very aware of people’s needs and their approach to people is calm, friendly, patient and understanding. All the staff have time for everyone and make sure they give people the attention they want. Where someone needs ‘one to one’ support this is provided. The consultant psychiatrist holds six-weekly surgeries at the home, to help support people’s health and well-being and review their treatment. The people we spoke with said they are satisfied with the care they receive and everyone who commented said they are looked after well. The medicines are kept safe and secure in locked cabinets and the medicine trolleys were locked when unattended. Most of the medicines are supplied by the pharmacy in a monitored dosage system, but some remain in the original packaging. We examined the Medicines Administration Record (MAR) charts, Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 13 which must show clearly the quantities of medicines received and in stock for each person. The medicines supplied in the monitored dosage system appeared to be recorded accurately. We checked some of the medicines that were supplied in their original packaging, to make sure the numbers that had been signed as administered tallied with the amounts received and the quantities remaining. We looked at four different medications and found that they all appeared to be accurate. Staff had signed the MAR charts each time a dose of medicine was offered and the quantities in stock and the amounts administered tallied with the quantity originally received from the pharmacist. The controlled drugs storage was safe and the records were accurate, but it may be advisable to re-organise the way these medicines are recorded in the controlled drugs book, as there were two books in use making it difficult to locate an individual’s records. During the visit, all the staff were seen to treat people with respect and maintain their dignity. The people who commented, and their relatives, said that they receive the care they need and are supported to maintain their independence for as long as they are able. Everyone said the staff listen and act on what they say. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 14 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in a wide range of activities. People are offered a good choice of meals to make sure their dietary needs and preferences are met. EVIDENCE: The activities are organised by all the staff. The staff spend time with people on one to one activities and in conversation, as well as doing things people can enjoy together. The home is gradually developing life histories for everyone and people’s families are being asked to bring in photos and other items that will help bring back memories, if they wish. These will help staff get to know people even better and plan activities and have conversations that remind people of the things they have enjoyed during their lives. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 15 The home has regular visits by different entertainers as well as children from a local school who come and sing and talk to people. Special events and parties take place, including the ‘Breath of Fresh Air’ week in July which everyone seemed to enjoy. This was so successful that the home plans to hold two of these events next year. The home also raised money for the Marie Curie charity by taking part in their nationwide tea party this summer. The home holds a lot of reminiscence events, each one with a different theme such as ‘Back to school’ and the ‘Royal Mail’, specifically designed to trigger people’s memories and get them talking about things that have happened in their lives. One person comes in to work with people on activities such as creating some wonderful, eye-catching paintings. These are done together by a group of people and the pictures are hung in the home. Film evenings are also held, with ice creams and other refreshments, as well as singing and gardening and a variety of ‘one to one’ activities. People are also supported by the home to go out shopping and attend appointments, with a member of staff accompanying them. At mealtimes there are always alternatives available if people do not want the choices on the menu. As well as a cooked meal at lunchtime, there is a choice of hot and cold dishes at teatime. People said that they enjoy the meals, the portions are generous and the food is always hot when it is served. Special diets are catered for and staff were seen to assist people who needed help in a calm and discreet manner, following the persons own pace. Additional staff are available at mealtimes and the chef is also involved in serving the meals and making sure people are enjoying their food. The menus are planned the day before by talking to people and asking what they would like. This means that each day’s menu is decided by the people who live at Green View House. There is also a menu for mid-morning and mid-afternoon refreshments that includes ‘smoothies’, yogurt, fruit and crisps as well as a variety of hot and cold drinks. There are also two supper trolleys; one in the early evening and one at around 9:30pm. These also include a variety of drinks and snacks. Staff have access to the kitchen at all times, so people can have a drink or a snack whenever they wish. The chef has just taken specialist nutrition training and is involved in planning how the home can make sure that everyone receives the nutrition they need for their health and well-being. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 16 The people who live at Green View House said they can do what they want, when they want. This confirmed our observations that the staff support people to live their life in the way they choose. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People using the 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 are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. The staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people at the home are safe. EVIDENCE: Any complaints or concerns are recorded in a complaints file. The actions taken and the outcomes are recorded. Where they are needed, improvements are made as a result of complaints investigations. Staff said they know what to do if anyone has concerns. The people who live at the home and their relatives said they know what to do if they have a concern or complaint. Newly employed staff are made aware of the homes whistle blowing policies and procedures, to be used if they suspect abuse or see examples of poor practice. All the new staff take adult protection and whistle blowing training as part of their induction training. Most of the staff have already taken training Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 18 in adult protection and regular refresher training is provided, to make sure staff are kept up to date on best practice. All the appropriate policies and procedures are in place to guide staff. The manager has taken Deprivation of Liberty Safeguards training and all the staff will be taking this training in the coming months. Appropriate assessments are in each person’s file, to make sure that their rights are respected and they are not deprived of their freedoms. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 25 & 26 People using the 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 provides a comfortable and well-maintained environment. EVIDENCE: The home is well maintained and everyone we spoke to said the home is always kept fresh and clean. The home is attractively decorated and the furniture is comfortable. In the entrance hall there was a collage of photographs of events that had taken place recently, showing people in the garden enjoying the entertainment. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 20 The shared areas of the home, such as the hallways, lounges and dining room, are comfortably furnished and have a welcoming feel. There are sufficient, accessible toilets and bathrooms on all floors of the house. Some of the bedrooms have been refurbished and are attractive rooms, with people’s personal possessions making them feel very homely. This is part of the home’s programme of renewals and re-decoration, which has also included decorating the two lounges, painting windows and laying new flooring in the dining room this year. There are some very nice pictures on the walls, including some pictures created by people who live at the home. The gardens are attractive and well kept and are a very pleasant place for people to sit out in. There is a seating area at the back of the house with level walkways and raised beds which are suitable for people to do some gardening in comfort, if they wish. Staff are employed to help look after the maintenance of the house and grounds as well as keeping the gardens tidy. Protective gloves, aprons and disinfecting hand rub are available for staff to use when necessary, to support the homes infection control measures. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet peoples needs. People are protected by the recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require to be able to meet peoples needs. EVIDENCE: The staff rotas, and peoples comments, confirmed our observations that there are enough staff on duty to meet peoples care, social and leisure needs. In addition to the manager, there is a nurse and between four and six support staff on duty at different times during the day and evening, and three waking staff at night, including a nurse. There are also plenty of housekeeping, catering, activities and other staff on duty each day. These staffing levels seem to be sufficient to provide care and support for the people who currently live at Green View House. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 22 The staff confirmed that staffing levels are adjusted to meet peoples needs. For example, if someone needs ‘one to one’ support then this is available. People who live at the home said there are enough staff around and our observations confirmed this. The homes recruitment procedures are thorough, making sure that staff are safe to work with the people who live at the home. All new staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. Everyone’s CRB check is renewed at three year intervals. There is plenty of training available for staff and they said the training is good and keeps them up to date. The home keeps good records of staff training, which also shows when updates are needed. Staff have recently attended training courses on moving and handling, fire safety and other health and safety training as well as infection control. Training in the implications of the Mental Capacity Act and the deprivation of liberty safeguards is planned for later this year. Other training courses that staff are to attend in August 2009 include dementia care, adult protection, moving and handling, food hygiene and a range of health and safety courses. All new staff complete induction training which meets the Skills for Care criteria. This gives them good basic training to help them do their job effectively, and provides a sound basis for taking a National Vocational Qualification (NVQ) course. The majority of the care and support staff have achieved, or are working towards, an NVQ in care at level 2 or 3. In addition, a quarter of the care and support staff are currently at University studying psychology or nursing. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 23 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 & 38 People using the 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 safe and well managed, in the best interests of the people who live there. EVIDENCE: The acting manager is partway through the process of registering with us. He has the necessary experience and qualifications to manage the home, in the best interests of the people who live there. The acting manager attends training to keep up his professional development and is about to start studying for a relevant management qualification. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 24 The records and the staff confirmed that all staff have one to one supervision meetings with the home’s manager, although these are not as frequent as they should be. The manager is looking at the possibility of senior staff taking training to allow them to take on some of this work. Supervision meetings support staff to plan their personal and professional development and give them the opportunity to discuss any areas of concern in a confidential setting. The staff said that they are well supported and they work well together as a team. Regular staff meetings are held and staff are encouraged to make their views known and contribute to the running of the home. Peoples personal information is stored securely when it is not being used. The homes policies and procedures are up to date, which makes sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner. These measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. Following their most recent inspection, the Environmental Health Officer has awarded the homes kitchen a score of four stars out of a maximum of five, for hygiene and good kitchen practice. The requirements of the report have been dealt with. When we looked, the kitchen was clean and well organised. The home has a wide range of quality assurance systems in place, to help determine the quality of service the home offers. These include surveys for the people who live at the home, their relatives and visitors and regular discussions with the people who live at Green View House and their relatives. The information and comments are used to help the management improve the quality of the service that is offered. There is a group of people called the ‘Friends of Green View House’, who come into the home and spend time with people doing activities; they also be-friend people who have no family or other connections outside of the home. At present there are no people living at the home who are subject to a deprivation of their liberty authorisation, under the Mental Capacity Act 2005. We received the home’s annual self assessment. It contained information about the home and the services that are provided. It was very detailed and gave us a full picture of the service, the improvements they have made during the past year and their plans for the coming twelve months. Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 25 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X X X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 X 3 2 3 3 Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 26 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. 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 OP9 Good Practice Recommendations It would be advisable to re-organise the way controlled drugs are recorded in the controlled drugs book, as there were two books in use when we visited, making it difficult to locate individual records. The acting manager should complete the process of registering with us and also begin studying for a relevant management qualification. This would confirm that the home is managed by a permanent manager with the necessary skills and experience to run the home effectively. Although all staff have one to one supervision meetings with the home’s manager, they are not as frequent as they should be. Supervision meetings support staff to plan their personal and professional development and should be held every two months. 2. OP31 3. OP36 Green View House DS0000064138.V376860.R01.S.doc Version 5.2 Page 27 Care Quality Commission Care Quality Commission Yorkshire & Humberside Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.yorkshirehumberside@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). 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