Care Home: Russell Green Care Home Limited

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What the care home does well The owners, manager and staff provide the residents with a comfortable, homely environment which suits their needs and wishes and creates a warm, family-style atmosphere. Staff are well-trained and feel supported at all times by conscientious owners who are always on hand but who also encourage the staff to take responsibilities and develop their working practices. Visitors feel welcomed and included at all times, as do others in the local community and those who use the home care services the owners also run and manage. What has improved since the last inspection? The owners have fitted new kitchen cupboard doors and work surfaces to provide easyto-clean surfaces to maintain a clean, hygienic catering space. New freezers and other catering equipment have been installed. A new stairlift has been fitted. One of the chimney breasts has been totally renovated and the chimney topping replaced. The home has been re-decorated in an ongoing programme. What the care home could do better: As at previous inspections of this service, no requirements or recommendations were necessary. The owners are meeting and in some areas exceeding the National Minimum Standards. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Russell Green Care Home Limited 11 Stanhope Avenue Woodhall Spa Lincs LN10 6SP     The quality rating for this care home is:   three star excellent service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Vanessa Gent     Date: 0 8 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. 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 Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Russell Green Care Home Limited 11 Stanhope Avenue Woodhall Spa Lincs LN10 6SP 01526352879 01526354057 info@russellgreencarehome.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Carys Atkin Type of registration: Number of places registered: Russell Green Care Home Ltd care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 18. The registered persons 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 are within the following category: Old age, not falling within any other category. Date of last inspection Brief description of the care home Russell Green Care Home is a large, brick-built, two-storey family home. It provides personal care for up to eighteen people of both sexes over 65 years of age. The home is situated in a residential district, within a short walking distance of the centre of Woodhall Spa. In the centre of the village are various shops and leisure activities including pubs, churches, library, village hall, post office, restaurants and tearooms. There is a famous golf club near the vilalge and a kinema in the woods, with picnic areas for the locals and summer visitors to enjoy. The village has a regular train Care Homes for Older People Page 4 of 25 Over 65 18 0 Brief description of the care home service and buses run throughout every day to the surrounding towns. The accommodation consists of fourteen single and two double bedrooms, of which five are ensuite. Communally, there are two main lounges and two smaller sitting rooms, an activities room, one dining room, three bathrooms and five toilets. The toilets are strategically positioned near to bedrooms without ensuite facilities and communal areas. Outside the rear of the home is a secure, spacious garden for relaxing and leisure activities such as plant and vegetable gardening. There is space for car parking on the road in front of the property. The home has two vehicles with wheelchair access for those people wishing or needing to use this facility. The owners philosophy of care is to treat people as individuals and give them as much independence, with support, as they want and choose, depending on individual capabilities. Information about the dayto-day operation of the home can be found in the statement of purpose and service user guide. These documents and a copy of the last inspection report are available to people who live there and for those interested in coming to live at the home. The rate of weekly fees charged is available on enquiry from the owners. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. An unannounced visit was made to the home as part of our key inspection. It started at 12.05 and lasted five hours. As part of our review and assessment of the service the owner was asked to complete a self-assessment questionnaire called the Annual Quality Assurance Assessment (AQAA). The information we received, as well as that which we hold about the service, was used to plan the visit and produce this report. Care Homes for Older People Page 6 of 25 The main method of inspection we used was called case-tracking. This involved choosing three residents, and checking the care they receive through looking at their records, talking with them, the care staff, any visitors and observing care practices. Our visit to the home focused on whether key standards had been met and how people feel about the service provided. The care received by three people was followed in detail to check that their health, safety and welfare needs were fully met and that they were supported to maintain their dignity, autonomy and choice. We spoke with the owners, the manager, staff on duty and several people in the lounge and their own rooms, including those whose care we were following closely. People talked about their experience of living at the home. Any comments we received are mentioned in the main body of this report. Some personal records, known as care plans, general house records and staff records were looked at, and the way care was given to the people was noticed. We saw some areas of the home and watched the evening meal being served to and taken by the people who live there. The owners were present throughout our inspection visit. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this 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 given enough information for them to choose if they want to live at the home. The first assessment process helps the care team to meet each new persons individual needs. Evidence: We saw the homes statement of purpose and service user guide. They are up-to-date and comprehensive. They, along with a copy of the latest inspection report, are given to all people interested in moving into the home. People told us that they had enough information before they moved into the home to make a knowledgeable and confident decision about moving in. The care plans created by the care team showed that pre-admission assessments are completed with anyone choosing to come to live at the home. People living in the home and relatives also confirmed this during our visit. Care Homes for Older People Page 10 of 25 Evidence: The owners of Russell Green Care Home do not provide an intermediate care service although people come for respite, and some have chosen to stay permanently from these short stays. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this 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 cared for appropriately and with dignity. Their needs are met by clear care plans, appropriate liaison with other professionals and safe medication practices. Evidence: We looked at the care plans of three people. They all contained detailed risk assessments, and told how the peoples health and personal needs were to be met. Care staff told us and showed that they provide the appropriate care and support for the residents by knowing what is in the care plans. Information in the care plans clearly showed that the staff review peoples plans regularly, together with the person where they indicate they want to be involved. Several people told us they know what their care plans are about and that they help to review them as they want. People told us that staff call the right professional needed if and when residents become poorly and the family is told straight away. They said the support and care given is wonderful. Care Homes for Older People Page 12 of 25 Evidence: Most of those living at the home need help with their medications. People who see to their own medicines have assessments in their care plans for this and are supported to manage them safely. Staff said they are trained to give medicines safely. This was confirmed in the staff files we looked at. People said they are treated with respect. We saw the staff behaving in a considerate, friendly way with people when giving support. There was a positive rapport between staff and people throughout the visit time at the home. The people in the main lounge chatted happily between themselves and with any visitors. The owners told us that they and the staff encourage people to live as independently as they want, with support. One person said, Theyre very kind, helpful, polite and pleasant. When a visitor was asked if the care given meets the needs of their relative, they said, Absolutely. We are SO lucky to have found this place. We couldnt wish for a better place. The staff are absolutely lovely. They do their utmost for the residents. The owners and the staff are always going the extra mile. I come in very regularly and I have never heard any of the staff cross with anyone, ever. They are all so kind. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 given respect and choice in all aspects of their home-life by thoughtful and conscientious owners, manager and staff team. They enjoy variety in the activities, community links and food provided. Evidence: All the people we spoke with told us that the activities are varied, ample and what they choose and want. Many of them prefer more one-to-one attention, and this is provided, as was evident in the daily diary record sheets in peoples care plans. The owners plan to join the charity, NAPA, National Association of the Provision of Activities for Older People, to help them find even more ways to offer the residents more choice. Visitors told us that as soon as they walk through the door, there is someone to welcome them and offer them refreshment. They say staff are easy to talk with and the owners are often around for a chat. Many events are organised to which the residents families and friends are invited, as well as those who use the home care service the owners run and manage, and others in the community around the home. From the many thank you cards received, these Care Homes for Older People Page 14 of 25 Evidence: functions are obviously enjoyed by all who take part. Staff said they enjoy them too. People all told us that they have as much independence and choice as they want. They said residents meetings are held and their opinion and views are asked for and taken notice of in the running of the home. They are as welcome to stay in their rooms as much as they are to join with others in the communal areas. When asked what the food was like, people told us, it is fine, lovely. Always more than enough. A visitor told us, The food is fabulous. Theres plenty of it all day long. For lunch, there are always four vegetables with the meal and fresh fruit is always available. Theyre given lots of drinks. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this 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 feel able to voice any concerns, are taken notice of, and are protected by staff who are trained to safeguard people and who are committed and caring. Evidence: People told us that they would feel comfortable to raise any concerns with the owners and the manager. However, no-one has made any concerns or complaints known either to the owners or manager or directly to us. And people told us, We never have any reason to complain. Everything is lovely. We saw that there are documents in place to inform staff regarding the safety and comfort of people. Staff told us, and their files confirmed, that they are trained from their induction onwards to put the residents first and keep them safe at all times. One person told us, The staff and the manager are lovely. I feel safe. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this 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 live in a comfortable, clean, well-maintained environment, which ensures they are cared for safely, as they wish and that they feel at home. Evidence: We saw that all areas of the home had been recently decorated. People told us, we like our surroundings and are very happy here. A visitor told us that the home is always spotlessly clean, immaculate and smells fresh and pleasant. A resident said that her room was always beautifully cleaned and the housekeeper was most conscientious and a lovely person. She said, I love my room and I couldnt be happier anywhere else. Its so nice because they let me stay in my room as much as I want and bring my meals to me and spend time with me. Outside the front of the home the area is mostly lawn, with mature, shading trees. At the rear is a large, secure, spacious garden, divided into two sections. One is for people to sit and relax in and to cater for barbecues and garden parties; the other has been laid to plant-beds for people who want to grow their own flowers, plants and vegetables. We were told it is a gardeners paradise. There is also a greenhouse with raised planting benches for people to manage easily without bending, and a garden shed. Some people who live at the home tend the kitchen garden and have, in past years, grown vegetables and fruit for the residents to enjoy. There is car parking space Care Homes for Older People Page 17 of 25 Evidence: on the road in front of the property. The home has vehicles with wheelchair access for those people wishing or needing to use this facility. The stairlift, which gives access to the first floor for people with limited mobility, was replaced recently with a new one. The washing machine was recently replaced and has efficient sluicing facilities. In the kitchen, all the cupboard doors and worktops have been replaced with easy-clean surfaces. New freezers have been installed. Flooring, curtains and carpets have been replaced as necessary. The owner said, Its like the Forth Bridge. As soon as the whole place is finished, we start all over again. Theres always a [renovation] project going on. The Environmental Health Officer last year gave the home top-marks of three stars for excellence. They said the health and safety elements of the home were very satisfactory. The fire officer officer gave a satisfactory report on his last visit to the home. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 in the safe hands of well-recruited and trained caring staff to ensure their comfort and well-being is maintained. Enough staff are on duty to enable them to give people ample opportunity to engage with them and receive the attention they need. Evidence: Staff told us, We have a great staff team and get on very well together. We all help each other out. We never have any arguments. An overseas staff member said that the others help her and her friends with learning the language and the owners have been very good with accommodation and helping them settle in. One staff has worked at the home for many years and never taken one day off on sick leave. She said she loves the job and is dedicated to her work. A visitor said that she comes to the home very often and has never heard a bad word or anyone falling out with each other. She said the atmosphere was always just right. Staff said there are always enough of them on duty to give time to the residents. We are not so rushed off our feet we cant spend quality time with the residents when they want. The duty rotas seen confirmed that enough staff with a variety of skill levels are on duty at all times. Staff told us proudly of the nationally-recognised qualifications they are all taking, from level two for the overseas new staff up to level four and the Registered Managers Award for four of the senior staff. Care Homes for Older People Page 19 of 25 Evidence: New staff told us their induction thoroughly prepares them to care safely for the residents. They said they do not work with people on their own until they feel fully confident. Staff told us, and the owners, the certificates in their staff files and the training audit tool confirmed that there is masses of training. And we get lots of support and help from the owner and the manager. Its brilliant. They said it enables them to work safely and efficiently. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this 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 run in the interests and for the benefit of the residents and staff. Residents feel safe, happy and enjoy living at the home. The people and staff are supported by passionate, skilled and dedicated owners and an enthusiastic manager. Evidence: We were told by staff, The manager is superb. She does regular supervision and has got us through lots of training. We can turn to the manager at any point. Everyone gets on with her and likes her. We were told that the door is always open to the owners and manager. Staff, residents and relatives all said how wonderful the owners are and how much a family they are. People said they have a say in the running of the home through the regular Residents meetings and in the frequent chats with the owners and manager. One of the owners does a very thorough monthly monitoring of the service provided, as seen in the reports written on his findings. The owners are preparing an annual resident questionnaire to get the views of the people who use the service. They also hold regular resident meetings to hear what they want. Social Care Homes for Older People Page 21 of 25 Evidence: Services have also recently done a monitoring review of the quality of the service provided. We asked a visitor if they felt the service was monitored sufficiently. They said, Absolutely! People said either they or their relatives look after their own monies. Staff told us, and we confirmed in their files, that they meet on a regular one-to-one basis with their manager. They said they felt this and being in close contact with the manager and owners was very supportive. The Environmental Health Officers and the Fire Safety Officers reports showed that the owners take the health, welfare and safety of the residents and staff seriously. Everyone we spoke with also confirmed this. The maintenance records are in order to further protect people. One person wrote a card of thanks after the death of their relative at the home. It said, It meant a lot to us, when the time came that we could no longer cope, to know that Dad was amongst people who knew him and had affection for him, whilst giving to him a very professional level of care. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 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, Care Homes 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 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 24 of 25 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!