Inspection on 28/09/05 for 40 Venner Avenue

This inspection was carried out on 28th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

40 Venner Avenue 25/06/08

40 Venner Avenue 14/09/07

40 Venner Avenue 13/12/06

40 Venner Avenue 13/05/05

40 Venner Avenue 15/02/05

40 Venner Avenue 17/06/04

40 Venner Avenue 12/02/04

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Dalewood Respite Care

Orchard,The

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Fairways

Treloar College

Pinta

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Venner Avenue (40) 40 Venner Avenue Northwood Cowes Isle Of Wight PO31 8AG Lead Inspector Liz Normanton Unannounced Inspection 28th September 2005 09:30 Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Venner Avenue (40) Address 40 Venner Avenue Northwood Cowes Isle Of Wight PO31 8AG 01983 293782 01983 293782 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Islecare `97 Limited vacant Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2005 Brief Description of the Service: Venner Avenue is a small residential group home for adults with learning disabilities. The home is a detached bungalow located in a quiet residential area of Northwood, within walking distance of local shops and the main bus route between Newport and Cowes. There are four single bedrooms for the service users and a communal lounge and dining/kitchen. Gardens are to the front and rear and are easily accessible by the residents. Parking is available on the front drive and the road at the front of the house. There is both level and ramped access to the front and level access at the rear. Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and the second of the inspection year. The inspector arrived at the home at 10.50 a.m. on the morning of Wednesday 28th September and stayed until 3.30 p.m. There were two staff on duty and one service user was at home at the inspector’s arrival. Throughout the day care staff called at the home for various reasons and were able to contribute to the inspection. Two support staff were formally interviewed. The residents are not able to comment about the service they receive. Extensive observations were undertaken and the relationships between staff and service users was extremely positive with the staff understanding and meeting service users’ needs. The home was found to be clean, hygienic and free from offensive odours. The inspector did not have access to staff files as these are confidential and were locked away, the acting manager is the only key-holder and was not available at the inspection. Only one standard inspected failed to meet the requirement. Part of a previous requirement was still outstanding. Overall the home was found to be well managed. What the service does well: What has improved since the last inspection? A new carpet has been laid to the lounge, which has brightened the room up. The window pole has been re-fitted. A service user’s bedroom has also had a carpet replaced and the purchase of a new bed. Additional hours have been provided to meet the one-to-one needs of a service user. Islecare ’97 Ltd has employed a new manager to replace the previous manager who has retired. Information in the service user guide has been updated as required. Service users are now getting out more. Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5 The service users are long - term residents and there have been no new admissions to the home for many years. There was no service contract available for inspection. EVIDENCE: Service users’ individual care/health needs are written into their care plans. Staff were observed meeting service users’ needs. Staff are able to understand the service users’ means of communication. One service user is currently in hospital and staff are supporting her on a daily basis. Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8 The service users are not able to express an opinion on the day- to -day running of the home. EVIDENCE: Due to the nature of the service users’ learning disabilities they are unable to verbally communicate their views and opinions. Their comprehension of the day- to -day running of the home is extremely limited and they are totally dependent on the support staff for all aspects of their care. Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15 and16 Service users are able to take part in age, peer and culturally appropriate activities. Support staff enable the service users to access the local community. Relationships with family members are supported. The staff support and respect the service users’ rights. The service users do not have any responsibilities as they are totally dependent on their carers. EVIDENCE: A daily activities board is displayed in the kitchen. Three of the service users go out during the week to day centre services on a part time basis. When at home they spend time with staff. Due to the nature of their disabilities the service users are not able to develop employment skills. One service user’s health has rapidly deteriorated and they are no longer able to access day centre services. The home has a vehicle, which is used to take service users out on trips, shopping to the day centres etc. Since May staff stated that they have been able to take service users out and about and trips have included going to the circus, pub meals, walks on the beach, shopping, and a visit to Longleat Safari Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 11 Park. A hairdresser, chiropodist and aroma therapist visit the home regularly. All service users are on the electoral register. Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The above key-standards were assessed at the previous inspection and were all met. EVIDENCE: Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The service users are not able to express their views about the service verbally. There have been no complaints made by their representatives. The service users are protected by the home’s adult protection policies and procedures. EVIDENCE: A complaints policy and procedure was in place and was last updated in April 2004, amendments have been made in 2005 to provide information of CSCI. There is a complaints form and also a book. There have been no recorded complaints since May 1996. Support staff stated that they would pass on any complaints made directly to the manager. The home has a copy of the Isle of Wight Adult Protection procedural policy. There is also an in house abuse policy. All support staff present in the home were aware of the policies and procedures and knew about the “whistle blowing” procedure. The home has regular visits from the register provider who provides CSCI with Regulation 26 reports on service. There was no record of any incidents of abuse. The support staff are aware of service users’ needs and risk assessments are in place re how to handle challenging behaviour. One resident has to be restrained for their own protection and this is detailed in the care plans and risk assessments have been undertaken. Support staff on duty stated that they would be able to identify adult abuse although they have not received formal training. There are policies and procedures in place for the handling of service user money. One purse was checked and the amount contained was in accordance to the amount written in the record book. All service users’ money is kept separately. Receipts of spending are kept. Key –workers have to make requests to the acting manager if the service user requires large sums of money. Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 14 Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25 and 29 Services users’ bedrooms reflect their individual personalities and suit their needs and lifestyles. The service users are very dependent and any equipment provided is to promote safe handling rather then to promote independence. EVIDENCE: Each service user has their own bedroom. The inspector viewed all four rooms and found them to meet size requirements in pre-existing homes. Three rooms are fitted with an en-suite. All rooms were comfortably furnished. One service user has had a new carpet fitted and a new bed since the previous inspection. The home has specialist equipment to enable staff to undertake transfers. The home has a portable hoist, and the bath is fitted with a hydraulic seat. These items are serviced every six months. Three service users are provided with wheelchairs. There is a handrail fitted in the garden but not within the premises. One service user has a hospital bed, which is fitted with bed rails to prevent falls. There are risk assessments in place for the safe use of all equipment. Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36 The service users are supported, by competent and qualified staff. The staff team is well trained and qualified to care for service users with learning disabilities. Islcare ‘97 Ltd recruitment policies and procedures endeavour to protect service users. Service users’ individual and joint needs are met by a skilled and well trained support staff. Formal supervision has lapsed however staff are informally supervised on a daily basis. EVIDENCE: Two staff were formally interviewed and one stated that they had completed National Vocational Training Awards (NVQ) at level 2 and the other was near completion of level 3. Both staff stated that they had completed induction training in the Learning Disability Award Framework LDAF. No certificates were available for inspection as they were kept in staff files, which were not available as the acting manager (key-holder) was not present. Support staff were observed interacting with service users throughout the inspection and they were seen to understand the care needs of the two service users that were at home during the inspection. The interaction was very positive with service users seen to be very relaxed and able to approach staff. The home has a well - established staff team who work well together. The acting manager has introduced a new approach and support staff are working across both homes to share and gain additional experience and offer opportunities for service users to meet new people. There are two staff on duty in the morning from 7.30 a.m. to 3.00 p.m. Afternoon staff come on duty Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 17 at 2.30 p.m. until 10.00 p.m. One service user has additional one to one hours from 8.00 a.m. until 8.00 p.m. and two wakeful night staff are on duty. The staff team is predominantly female. All support staff confirmed that with the addition of the extra one to one hours it has freed them up to take other service users out and spend so much more quality time with them. Staff files were not available for inspection however two staff who were formally interviewed confirmed that they had seen their jobs advertised. Both had completed application forms, provided two references and had had Criminal Bureau Record (CRB) checks and had not been employed until the checks had been returned. Both confirmed they had received job descriptions, had had induction training and that there had been a probationary period of employment. As part of induction training all staff have received training in health and safety, manual handling, food hygiene, basic first aid and health and hygiene. Staff have been encouraged to undertake NVQs. Staff confirmed that mandatory training is regularly updated. A number of staff have been LDAF trained. No training had been undertaken in deaf/blindness or Autism. Both staff interviewed confirmed that they have received supervision in the past and are aware that the acting manager has begun to formally supervise the staff team but they had not yet received supervision. Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38 and 42 A new manger has been appointed at the home and is also responsible for the running of Newport Road. The manager has been introducing some new changes, which have been a benefit to service users and staff. Islecare ’97 Ltd has recently appointed a new manager to the home who has been in post approximately four months. The service users are benefiting from the new style of management introduced to the home. The health, safety and welfare of service users and staff are protected and promoted by the home’s manager. EVIDENCE: The acting manager of the home has fourteen years previous managerial experience. She has managed several homes on the Island prior to taking up her post at Venner Avenue. The acting manager has completed NVQ level 3 and intends to undertake NVQ level 4 and the registered manager’s award. The manager was not present at this inspection and this information has been provided from the inspection which was recently undertaken at Newport Road. The staff stated that the manager runs the home well and this was evident from the overall conduct of the staff and the maintenance of the home and the Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 19 wellbeing of the service users. The inspector spoke with several support staff that stated that the acting manager is approachable, friendly, a good listener, supportive and firm but fair. There is now a designated office space in the home were confidential files are kept. Support staff have access to the office. The acting manager runs two establishments and visits the home on a daily basis. Support staff stated that the acting manager is also contactable at home when not at work. Two support staff were formally interviewed and they both stated that the morale at the home was high and they enjoyed working there. Support staff observed throughout the inspection were seen to be very friendly and full of enthusiasm. Islecare ’97 Ltd is an equal opportunities employer. The home was found to be clean, hygienic and free from hazards. The two morning staff had received health and safety training as part of their induction. Both support staff were aware of the fire procedures. Fire procedures were posted around the home. There is a first aid box kept in the kitchen and also one in the home’s car. All staff working at the home are trained in basic first aid. Food was stored appropriately. Fridge and freezer temperatures are taken twice a day and temperatures are recorded. All hot meals are probed to ensure a core temp of 90°c. The two staff on duty had been trained in food hygiene. The home has food hygiene policies and procedures. There was a generic risk assessment of potential hazards within the home. The Control of Substances Hazardous to Health ( COSHH ) cupboard is situated in the garage. COSHH policies and procedures are in place. All hand basins are equipped with liquid soap and paper towels. Support staff wear gloves and aprons when providing personal care to service users. The electrical PAT test is undertaken by a designated member of staff who has done them in January 2005 and they will be tested again in 2007. The acting manager ensures compliance with legislation through example, training and supervision. Records of accidents were seen and serious incidents are always sent to CSCI as Regulation 37. Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x 3 x 1 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x 3 x x Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 x x x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 x 3 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Venner Avenue (40) Score X x x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x DS0000012549.V250877.R01.S.doc Version 5.0 Page 21 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA 5 Regulation 5 (1) (c) Requirement Islecare ’97 Ltd must provide each service user with a contract or statement of terms and conditions of their placement. The coffee tables to be renovated or replaced. (previous timescale of 31/08/05 not met. Timescale for action 30/12/05 2 YA 24 23 (c) 30/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA 35 YA 24 Good Practice Recommendations Staff training in Deaf/blindness to meet the individual needs of one service user. Autism training for those staff who are going to be employed at Newport Road. Islecare to consider updating the furnishings in the service users’ lounge which better reflects their age group. Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Venner Avenue (40) DS0000012549.V250877.R01.S.doc Version 5.0 Page 23 - 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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