Care Home: Greenside Court

Annual service review Name of Service: Greenside Court The quality rating for this care home is: The rating was made on: two star good service 2 8 0 1 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: Eileen Engelmann Date of this annual service review: 2 4 0 3 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service Address of service: Greenside Greasbrough Rotherham South Yorkshire S61 4PT 01709558465 01709556277 tduke@exemplarhc.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia physical disability Conditions of registration: Greenside Health Care Ltd Number of places (if applicable): Under 65 Over 65 20 20 0 0 20 mental disorder places must be used only for clients with Huntingdon`s Disease. The admission of clients with a diagnosis other than Huntingdon`s Disease must be agreed with the NCSC prior to placement. (This is not intended to be restrictive, rather to support and recognise the specialist services provided at this Home) 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 Greenside Court is a care home with nursing which caters for twenty adults with physical disabilities, or mental disabilities associated with Huntingdons Disease. People with Huntingdons Disease are care for in a specially designed 10 bedded unit. The home was purpose built in 2003, and is situated in Greasbrough, a residential area of Rotherham, and is near to local shops and facilities. The home is on two floors connected by stairs and a passenger shaft lift. Each floor is similarly designed, with enAnnual Service Review Page 2 of 8 2 8 0 1 2 0 0 9 suite bedrooms for single occupancy, lounges, dining room, multi-sensory room and other communal facilities including a computer room and a visitors room. Aids and adaptations are available throughout the home to meet peoples needs. There are gardens around the home including a level patio area with seating and barbecue facilities. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? We last visited the home for its key inspection on 28 January 2009 when we rated it as a 2 star or good service. What did we do for this Annual Service Review We looked at all the information that we had received, or asked for, since the last key inspection. This included 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. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have on how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What has this told us about the service? The home sent us their AQAA when we asked for it. It was clear and gave us all the information we asked for. 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. The AQAA tells us that the service is trying to ensure that people using the service have a voice in shaping how the home is run and how changes can be made to provide better outcomes for individuals. People can attend regular meetings held with the life skills team who organise activities and events in the home. Individuals are able to have 1-1 talks with the staff and manager if wished, and satisfaction questionnaires are sent out to people using the service, relatives and other stakeholders on a regular basis. The manager has told us in the AQAA that there is an ongoing maintenance and refurbishment programme within the service. In the last 12 months all the communal areas have been redecorated, the exterior patio area has been redone and new flowers planted in the gardens. New furniture has been supplied for bedrooms and the Bernard lounge, and new widescreen televisions have been bought for all the lounges. Over the next 12 months the service plans to change the recreation room on Heshon Unit to an activities room, providing more space for in-door activities and including a hairdressing Annual Service Review Page 4 of 8 facility. There are plans to purchase new furnishings for the activity room and some multi sensory equipment. The information in the AQAA tells us that the service employs two full time life skills co-ordinators to plan and implement activities. There is a weekly programme of events and the service has developed life skills books for each person using the service. These books are filled with information about each individual and their personal wishes and choices; this gives staff a good insight into what activities each person might enjoy and take part in. The manager has told us in the AQAA that the activity programme is being reviewed to incorporate more 1-1 time with people using the service. This individual time is both for in-house activities and for outings. The service has recognised that as peoples conditions deterioate, individuals no longer enjoy group activities and appreciate more personal interactions. We sent out 10 surveys to people using the service, 5 to staff, 5 to relatives and 3 to social and healthcare professionals. There was a adequate response to these with 1 being received from a person using the service, 4 from relatives and 4 from staff. The person living in the home told us they are happy there. This individual commented that they get the care and support that they require and staff are supportive and friendly. The person said The staff always consider my needs and take good care of me. They give me all the support and help that I need. The relatives who completed our surveys said that they are generally satisified with the care and support offered by the service to their loved ones. Individuals told us that They care for my relatives needs, he is dependent for all aspects of care and they see to him and make sure he is comfortable. The staff work cheerfully and hard. They do a good job (medically) and are always ready to listen. The staff usually try hard to give my relative the care they need. When we asked on our surveys what the home could do better, relatives told us The staff could keep drawers, cupboards, wardrobes and cabinets in better order. Pass on information from one shift to another. Have more activities to suit individuals and try to cut down on staff turnover. Provide more wardrobe space so clothes can be hung up rather than folded. Sometimes my relative needs more care from the care staff who sometimes have no idea. There is a lot of new staff, which I dont think is very good for the people using the service. Information from the staff surveys indicates that there are good training and development opportunities for employees and individuals are offered supervision and support by the manager. Annual Service Review Page 5 of 8 Staff told us At Greenside Court we have a good training system and the provider is very keen to keep their employees up to date and offer development opportunities to staff. The service is good at providing care for people, training for staff, listening to peoples views and opinions, keeping the home clean and providing adequate facilities. We look after the people using the service, help them have a good quality of life and support them to get back into the community. The service meets peoples needs very well and makes sure that everyone is well cared for. It maintains a happy environment and sees to peoples needs and wants. When we asked in the surveys what staff thought the home could do better they told us The staff and management teams at Greenside Court need to communicate with one another as the staff do not always get to know what is happening. I think the standard of care is quite good, but it could be better. I think this is down to young carers; this is not a bad thing but it makes the job harder as you have to tell people what to do all the time. Buy more equipment, listen to the staff when they have issues about the people using the service. Information in the AQAA tells us that the service has had a fairly high turnover of staff in the last 12 months. The manager has been actively recruiting, but says that it is difficult getting quality staff because of a shortage of suitable candidates. The manager has said that the service is aware of the pressure on existing staff when new staff are undergoing induction, and in response it has introduced more team leaders (8 in total) to help support new staff during their probation period. The information in the AQAA informs us that the home has received 9 formal complaints in the last 12 months, one complaint was upheld and one is still being investigated. There have been 3 safeguarding allegations made by the home to the local authority (this means someone raising concerns about keeping people safe from harm). The local authority safeguarding team were notified and agreed that the home would do their own investigations and give feedback to the safeguarding team within a given timescale. Where necessary the home has taken disciplinary action against staff or changed working practices to improve the service and keep people safe. The service continues to let us know about things that have happened since our last key inspection, and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? Annual Service Review Page 6 of 8 The completion of this Annual Service Review has not changed our view of the quality rating for this service. Future visits will be determined through our Registration process and the new Compliance Standards. 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 7 of 8 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. If you would like a copy of the findings 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 non-commercial 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. 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