Care Home: Greensleeves

What the care home does well We believe the provider is seeking to put right the shortfalls identified in the provision of staff supervision. What the care home could do better: There have been improvements and staff have been observed while working but formal supervision arrangements need to be in place. The service must demonstrate that staff are receiving regular supervision. Senior staff in the home have not received training in providing and recording staff supervision, and have not fully understood the purpose of staff supervision. Random inspection report Care homes for older people Name: Address: Greensleeves 19 Perryfield Road Southgate Crawley West Sussex RH11 8AA one star adequate service 28/01/2010 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: Edward McLeod Date: 1 9 0 4 2 0 1 0 Information about the care home Name of care home: Address: Greensleeves 19 Perryfield Road Southgate Crawley West Sussex RH11 8AA 01293511394 01293513680 greensleeves19@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Manager Post Vacant Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Jean Thompson Kennedy Gisbey care home 41 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 0 The maximum number of service users that can be accomodated is 41. 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: Dementia (DE) Date of last inspection Brief description of the care home Greensleeves is a care home providing accommodation and personal care for up to forty one older people who suffer from dementia. The owner is Mrs Jean Gisbey, and there was not a manager registered for the service at the time of our visit. The home Care Homes for Older People Page 2 of 8 2 8 0 1 2 0 1 0 Brief description of the care home is situated in a residential area of Crawley, being close to the town centre, local amenities and transport links. Greensleeves consists of two linked houses and a large purpose built extension. There are two units, and each unit has a sitting room and dining area. Bedrooms are on the ground and first floors, with a lift serving most rooms on the first floor. There is off-road parking for staff and visitors. Care Homes for Older People Page 3 of 8 What we found: In order to plan for this random inspection visit we read the previous visit report and looked at the statutory requirement notice that was served on the home on the 2nd March 2010. The regulation breached was regulation 18.2(a) of the Care Homes Regulations 2001, in that the provider had failed to make proper provision to ensure that staff receive appropriate levels of support and supervision in relation to their roles and responsibilities. The random visit was carried out on the 19th April 2010, beginning at 1.20 p.m., and the visit lasted for three hours and forty minutes. The visit was to specifically assess if the statutory requirement notice had been met. During that time we looked at all the available evidence for staff supervision since our previous visit, and staff training records. We talked to the care manager, including a discussion of the outcomes of our random visit on the 17th March 2010 when we visited to assess compliance with a statutory requirement notice concerning the safe administration of medicines. We found evidence that arrangements have been put in place for staff to receive supervision. We found that supervision records did not evidence that staff were receiving supervision with the frequency and content recommended in the national minimum standards for Care Homes for Older People. We found that the Statutory Requirement Notice had not been met. We have made a new requirement that the provider advise us of the action they will be taking to comply with the Statutory Requirement Notice. 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 4 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 7 15 The provider must ensure that the service users health, personal and social care needs are set out in an individual plan of care which sets out in detail the action which needs to be taken by care staff to ensure that all aspects of the persons care are met. The complex needs of people living in the home are not being satisfactorily addressed in the individuals plan of care. 30/04/2010 2 29 19 The registered person shall 30/04/2010 not employ a person to work at the care home unless he has obtained in respect of that person the information and documents specified in paragraphs 1 to 9 of Schedule 2, Care Homes Regulations 2001. The home is failing to protect people living in the home by commencing staff before the required checks and references have been obtained. 3 30 18 The registered person shall 30/04/2010 ensure that people employed Page 5 of 8 Care Homes for Older People 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 to work at the care home receive training appropriate to the work they are to perform. Not all staff have received all the training they require to provide safe and appropriate care - for example training in safeguarding, dementia care, managing aggression, and food hygiene. 4 31 8 The registered provider shall 30/04/2010 appoint an individual to manage the care home. There is not a manager registered to manage the service at present. 5 36 18 The registered person shall 19/10/2009 ensure that persons working in the care home are appropriately supervised. There are not arrangements in place for staff to formally and regularly sit down with a senior member of staff or manager to talk about all aspects of practice, the philosophy of care in the home, and their career development needs. This formal supervision should aim to assist staff in meeting the needs of the people receiving care and support. 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 1 36 18 The provider must tell the Commission the action that will be taken to ensure that all staff employed in the home receive the levels of support and quality of supervision necessary to perform their roles and responsibilities. The provider has not complied with the statutory notice requirement concerning staff supervision issued by the Commission on 2/3/10. 28/06/2010 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial 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. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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