Latest Inspection
This is the latest available inspection report for this service, carried out on 23rd September 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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 Greene House.
Annual service review
Name of Service: Greene House The quality rating for this care home is: The rating was made on: two star good service 0 9 1 0 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Maureen Richards Date of this annual service review: 2 3 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: The National Society For Epilepsy Chesham Lane Chalfont St Peter Gerrards Cross Bucks SL9 0RJ 01494601426 01494871927 Telephone number: Fax number: Email address: Provider web address:
www.epilepsysociety.org.uk The National Society for Epilepsy The registered provider is responsible for running the service Name of registered provider(s): Name of registered manager (if applicable): Conditions of registration: Category(ies) : learning disability physical disability Conditions of registration: The maximum number of service users who can be accommodated is: 18 The registered person may provide the following category/ies of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability (LD) Physical disability (PD) Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Registered manager left. Position vacant. 0 9 1 0 2 0 0 8 Number of places (if applicable): Under 65 Over 65 18 18 0 0 Annual Service Review Page 2 of 7 Greene House is a care home registered to provide care, support and accommodation for up to 18 people with learning and physical disabilities. The home is part of the National Society for Epilepsys site in Chalfont St Peter and constitutes a detached building offering single room accommodation to all service users.There is ample communal space as the home is divided into five groups with service users having access to the grounds on site. Service users are able to access the nearby towns of Amersham, Slough and High Wycombe although public transport links are restricted.The village of Chalfont St Peter has some amenities and there is a shop and a restaurant on site. Please contact the Provider for the current range of fees. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: 1. The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. 2 Surveys returned to us by people using the service and from other people with an interest in the service. 3. Information we have about how the service has managed any complaints. 4. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. 5. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. 6. Relevant information from other organisations. 7. What other people have told us about the service. The last key inspection of this service took place on the 9th October 2008. What has this told us about the service? The home sent us their annual quality assurance assessment AQAA when we asked for it. It was informative and outlined what progress and improvements have been made within the home and what it aims to achieve over the next year. Surveys were sent to 12 service users, 14 staff and 4 Social and health care professionals. 3 service users, 7 staff, 2 Social and health care professionals surveys were returned. The AQAA confirms that the home has an established thorough procedure for conducting assessments to ensure that the needs of service users are met. They also support service users to develop the skills necessary to move on to more independent living and actively participate in an appropriate assessment period to ensure suitable accommodation of their choice and which meets their needs is available. The home is due to close late 2010 and the plans for improvement over the next 12 months are to prepare service users for this move. The AQAA tells us that care plans and risk assessments are in place with the plans for improvement over the next 12 months to develop service user care plans to support service users in preparation for the closure of the home. Annual Service Review Page 4 of 7 The AQAA outlines that all service users are actively encouraged and supported to participate in a wide range of social, educational and training activities which are available both on and off site and they are actively supported and encouraged to use public transport to access the wider community to promote their independence. Two staff commented that more activities out of the home could be provided in the evening and weekends with sufficient staffing and transport being provided to enable this. The AQAA tells us that the home is fully self catering with three self service users having elected to do their own catering, budgeting, shopping and cooking with staff support as required and within a risk assessment framework. The AQAA indicates that service users are supported to meet their personal and healthcare needs with service users having access to a wide range of healthcare professionals and being supported with their medication by staff trained in this role. The home has accessed the local Independent Mental Capacity Advocacy (IMCA) service where this was required for a service user who had lost the capacity to make decisions concerning their healthcare needs. The AQAA indicates that the home has had two complaints in the previous 12 months, with one of those complaints upheld and both complaints resolved within 28 days. Written feedback received from service users confirm that all three service users who responded know how to make a complaint. The AQAA tells us that plans for improvement are to provide training for staff to enable them to recognise and respond appropriately to complaints raised by service users and others acting on their behalf. The AQAA confirms that the home has had one safeguarding of vulnerable adults referral in the previous 12 months. A safeguarding and whistle blowing is in place with the AQAA indicating that the whistle blowing policy was last reviewed in March 2009 and the safeguarding of vulnerable policy was reviewed in March 2004. The AQAA tells us that mandatory safeguarding and challenging behaviour training is provided for staff with training records maintained to evidence this. The AQAA tells us that the home is well maintained, clean and safe for the people who live and visit it. It indicates that some new furniture has been purchased and areas of the home have been adapted to meet individuals needs, circumstances, requests and personal preferences. The plans for improvement over the next 12 months is to ensure that the environment remains fit for purpose, until the closure of the home. The AQAA outlines that staffing levels are adequate and flexible to meet service users needs. Staff are suitably recruited, inducted, supervised and trained in their roles and the home is able to access external training resources, which provides more opportunities for training on a wider range of topics. Written feedback received from staff confirm that they receive induction, training and support. Staff commented that they feel they work well as a team, communication is good and there is positive relationships between them and service users. The AQAA confirms that 8 out of the 12 permanent staff have achieved a National Vocational Qualification level 2 or above. Annual Service Review Page 5 of 7 The home has no registered manager which is being addressed by the Organisation. The home has kept the Commission informed under Regulation 37 of notifications that affect the well being of service users. The notifications indicate a number of falls which has resulted in injury to service users. This was discussed with the deputy of the home for them to review and risk assess. The AQAA confirms that Regulation 26 visits take place monthly with records maintained of those visits. The dataset section of the AQAA indicates that some policies were updated in 2004, 2005, 2007, 2008 and 2009 with the disposal of waste policy being reviewed in June 1995. The AQAA indicates that servicing of equipment is up to date. Written feedback from service users confirmed they were happy with the care provided. One person commented that there was no transport at the weekend which means that they can not do what they want to do at weekends. Written feedback from social and health care professional was positive with both individuals confirming they were happy with the care provided. One professional commented that the home offers an individualised client centred care to people in a caring environment. The other professional commented that they believe the care provided by the team is excellent. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. However the organisation must appoint a manager to become registered with the Commission as required under Regulation and be accountable for the management of the home. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by the 9th October 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information
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