Care Home: Greengate House

Annual service review Name of Service: Greengate House The quality rating for this care home is: The rating was made on: three star excellent service 2 6 0 2 2 0 0 9 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: Phil McConnell Date of this annual service review: 1 6 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Samuel Street Nutgrove St Helens Merseyside WA9 5LT 01744850029 Telephone number: Fax number: Email address: Provider web address:   carole.edwards@makingspace.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Carole-Ann Edwards Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Service Users to Include up to 12 (MD) Making Space Number of places (if applicable): Under 65 Over 65 12 0 The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Have there been any changes in the ownership, management or the No 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 Greengate House is a two storey purpose built home located in St Helens Merseyside. The home accommodates up to 12 residents under the category of mental disorder. It is close to local amenities and public transport links. The building is made up of three self contained units each having four bedrooms, a lounge, bathroom and separate Annual Service Review Page 2 of 7 2 6 0 2 2 0 0 9 toilet. The home also has a number of other communal areas including a large lounge, dining room and a conservatory with views into a well maintained and attractive back garden. The home is owned managed by Making Space, a registered charity that offers support to people who are suffering with schizophrenia or other mental illnesses. The homes registered manager is Carol Edwards. 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? Various information was gathered in order to complete the Annual Service Review (ASR) for Greengate House, which included the following: 1) The Annual Quality Assurance Assessment (AQAA), which had been completed and sent by the registered manager of Greengate House. The AQAA is a self assessment document that focuses on how well outcomes are being met for the people who have been living at the home. The AQAA also gave us some numerical information about the home. 2) The information that we have received and recorded in the service Inspection Record. The inspection record contains any information we have received since the last inspection visit. 3) Any information we have about how the service has managed any complaints. The AQAA states, that no complaints have been received within the last twelve months. Although there is an assurance that any complaints would be dealt with appropriately. 4) What the service has told us about things that have happened in the home. These are called notifications and it is a legal requirement of the provider to keep us informed of such events. 5) The previous Key Inspection Report (26/02/09) that had been completed by the Care Quality Commission (CQC) was also taken into account in order to complete this Annual Service Review (ASR). 6) The CQC received eighteen surveys from service users and members of staff. Overall the surveys were generally positive, with some of the comments being: the care is very good in every aspect, with all needs being met It provides a good home, promotes independence, provides holidays and day trips for service users they look after me and the other residents very well and I am happy with things the way they are, dont want any changes. Some of the comments regarding what people would like to improve include: Would like to have more staff available to go out shopping need more activities would like more social events better communication between workers. I sometimes feel that I am not involved with service users development or know what is going on and Would like to give more individual time to service users, to develop their skills in day to day life. What has this told us about the service? The AQAA gave the Care Quality Commission (CQC) all of the information we had asked for and it also reflected on previous inspection findings. Some of the information contained in the Annual Quality Assurance Assessment stated what the service does well and what has improved in the past twelve months including, * A full care needs assessment is completed by an appropriately trained member of Annual Service Review Page 4 of 7 staff, prior to a service user being provided with a service at the home. This is done with the inclusion of an advocate, if needed. The provider offers a person centered service, which means that the focus is on the person receiving the service, their needs, wishes and their aspirations. *There is a robust, clear and concise policy and procedure, dealing with concerns and complaints. It states that people are fully aware of how to make a complaint. *There are also clear guidelines regarding the safeguarding of adults, with a robust process in place. This helps to give the assurance that vulnerable people are protected as much as possible from abuse. * Service users are supported and encouraged to live as independently as possible. This is done by supporting individuals to access education and further training. In order to promote social inclusion and community presence. *The AQAA states, The aims and objectives of Greengate House are to provide our service users with a safe and efficient service in which their care, well being and comfort is of prime importance. The support staff will strive to preserve and maintain the dignity, individuality and privacy of all service users within our home. In doing so, they will be sensitive to the service users ever-changing needs. These needs may include, physical, medical, therapeutic, spiritual, mental, social and emotional. emotional and social. *Service users are encouraged to participate in the development of their individualised care plans and their personal development plan in which the involvement of family or an advocate is encouraged. *The privacy, dignity, respect and equality of service users is actively promoted in the home. *All staff members have received training in the administration of medication within the home. There is a policy in place promoting people to self medicate, wherever possible. *The AQAA states, We maintain high standards of cleanliness, with systems and procedures in place to control infection. The home is well maintained, comfortable and homely, with all service users having their own rooms, which can be decorated to their own individual choice, all furnishing and decoration is to a high standard, with a rolling decoration and maintenance plan in place. *Greengate House has recently introduced a clear and comprehensive statement of purpose and service user guide, which is informative and user friendly. *It is evident that the training provided is of a very good standard, with all of the staff team having achieved the National Vocational Qualification (NVQ) at level three. *Making Space have a rigorous recruitment and selection procedure which meets the requirements of legislation, equal opportunities and anti-discriminatory practice and ensures the protection of service users. Annual Service Review Page 5 of 7 *An Excellentia programme has recently been introduced to ensure that supervision appraisal and performance are measurable and achievable, which will ensure that all training and identified needs are met. *Greengate House has a qualified, competent and experienced Manager, who has nearly 20 years experience within the care sector. The Deputy Managers have completed the Registered Managers Award and Leadership & Management. * Effective monitoring and reviewing systems are in place, which ensure safe working practices. Some of the improvements made in the previous twelve months include: *Successfully moved people onto independent living with personalised care packages to support them in their long term goals of independence and well being. *Greengate have successfully worked with a greater emphasis on Social Inclusion ,with eight of the twelve residents actively working with Social Inclusion workers in varied pursuits eg. Dance & drama, Computer studies, Keep fit, Art classes, Walking & Hiking groups, voluntary work etc. *The AQAA says, We have widened our networks to access the wider community with Social Inclusion for our residents, we have personal development plans running in conjunction with social inclusion teams to provide a tailored training, hobby, activity, or voluntary work programme for each individual. *Service users have been included in the recruitment process and in policy group meetings. The introduction of the Excellentia programme for our staff members has enabled us to work closely with our teams to make sure that we all work together to achieve our vision and commitments. *Purchased garden furniture, equipment, a Barbeque to encourage outdoor activities and the purchase of a Greenhouse for resident use. *Extensive internal refurbishment has taken place. * A monthly newsletter is now distributed to all staff members. Overall it is evident that Greengate House continues to provide excellent outcomes to the people living at the home. What are we going to do as a result of this annual service review? The Care quality Commission (CQC) will continue to monitor information about Greengate House and will carry out an inspection when required. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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