Inspection on 15/02/06 for Belle Vue Country House

This inspection was carried out on 15th February 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Belle Vue Country House 12/02/08

Belle Vue Country House 07/11/06

Belle Vue Country House 15/06/05

Belle Vue Country House 13/01/05

Belle Vue Country House 27/08/04

Belle Vue Country House 30/07/02

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

The Laurels

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

CARE HOMES FOR OLDER PEOPLE Belle Vue Country House Warninglid Lane Warninglid West Sussex RH17 5TQ Lead Inspector Mrs V Gay Unannounced Inspection 15th February 2006 08:55 X10015.doc Version 1.40 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 Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 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 Older People. 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. Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Belle Vue Country House Address Warninglid Lane Warninglid West Sussex RH17 5TQ 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) 01444 461207 01444 461077 Newcare Homes Limited Mrs Irma Lew Kum Hoi Care Home 41 Category(ies) of Dementia - over 65 years of age (41), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (41) Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. That up to 3 persons under the age of 65 may be accommodated in the home. 15th June 2005 Date of last inspection Brief Description of the Service: Belle Vue Country House is a Care Home registered to provide 41 places in the category of Elderly Mental Disorder and Dementia (including 3 places for 50 ). Belle Vue is an adapted and extended two-storey house, standing its own extensive grounds near the village of Warninglid. The home is situated within a rural location in reach of the A23 and there is a bus service that stops near the home. Accommodation is provided on two floors with a lift connecting the two floors. The home currently has 29 single rooms and 6-shared rooms. The home has an extensive garden around the home and an enclosed patio area. Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. This was an unannounced inspection, commenced at 8-55 am and lasted five hours. At this inspection the Inspector looked at standards that were not looked at during the previous inspection, as well as any outstanding issues from the last report. The reader is advised to look at the reports of both inspections for a fuller picture of the home. Where standards have not changed the report remains the same. During this inspection the Inspector toured the building, visited several rooms, and joined the residents in the lounge areas. As well as talking to the Manager and five of the staff members, the Inspector spent as much time as possible with the residents. The Inspector examined records about care being provided to residents; as well as records of any accidents, or concerns or complaints, to make sure that the residents at Belle Vue Country House are being taken care of. Due to the mental frailty of the majority of the residents it was not possible to engage in meaningful conversation. However from their demeanour and interactions with the staff team, the inspector concluded that they were relaxed and content in their environment. During this inspection, the Registered Manager and the charge nurse assisted the inspector. The inspector would like to thank both them, and everyone else who cooperated with her at this inspection. Requirements made at the previous inspection had been complied with. Since the previous inspection no complaints had been received by the Commission for Social Care Inspection. One matter, which was referred to the Adult protection team, had been brought to a satisfactory conclusion. A requirement was made during this inspection, in respect of Regulation twenty-six reports of visits made by the Responsible Individual. Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 6 What the service does well: What has improved since the last inspection? 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. Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Each resident is assessed prior to being admitted to the home to ensure his or her care needs can be met. Relatives are invited to assist with this process whenever possible. Belle Vue Country House does not provide intermediate care. EVIDENCE: Five files were examined for the newest admissions to the home. These were found to contain all the relevant required documentation as stated in the National Minimum Standards. Care plans were informative and staff on duty were able to demonstrate a clear understanding of the residents individual needs. Regular handovers and care notes ensure that a continuity of care is provided. Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,9 Care plans examined gave clear instructions to enable staff to meet resident’s needs. The registered person ensures that there is a policy and staff members adhere to procedures, for the receipt, recording, storage, handling and administration and disposal of prescribed medication. Residents due to their mental frailty are not able to mange their own medication. EVIDENCE: A key worker system is operational in the home, where a named member of staff is responsible for a group of residents. Daily care sheets are kept of the care provided and notes any changes in the resident’s health and well-being. Only trained nurses administer the prescribed medication. The inspector observed a drug round, and it was encouraging to note that staff took this opportunity to encourage residents to drink a glass of juice. This practice was continued throughout the day to ensure residents fluid intake was maintained. Staff informed the inspector that they had attended a course in “Safe Handling of Medication, which was recorded. Staff were observed to treat the residents sensitively showing them respect. Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14,15 Residents maintain contact with family, friends and the local community as far as is possible. During the inspection residents were seen to wander at will around the home with no restrictions placed upon them. All meals are prepared and cooked on the premises by the duty chef. EVIDENCE: The residents are mentally frail and a number immobile. Activities such as word games, quizzes, sing-along, musical bingo and arts and crafts are provided to meet the varying needs of the residents. The inspector was told that a social activities co-ordinator visited the home three times a week to broaden the scope of activities available to the residents. Recordings of these sessions were examined. A church service was being provided on the day of the inspection and the attendance was good. One resident told the inspector she liked to go out in the garden, and another said she enjoyed music. Residents said they had celebrated Valentines Day with a special tea dance the previous afternoon. Photographs produced showed that they had joined in the singing and dancing with the staff. Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 11 The meal of the day was pork chops or sausages accompanied by a selection of vegetables. This was followed by ice cream gateau. Special diets and preferences were provided. One resident said he liked chips and these were provided at his request. Residents, who required assistance to eat, were helped in a sensitive manner by a member of staff. The mealtime was unhurried and relaxed and residents were seen to enjoy their meal. Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The complaint procedure is clear and enables residents, relatives and representatives to be sure that their complaint would be taken seriously and acted on within an appropriate time scale. Since a previous incident resulting in an Adult Protection referral being made, staff have attended Protection Of Vulnerable Adults training. Systems for reporting and recording daily happenings in the home have been reviewed. EVIDENCE: No complaints have been recorded in the home since the previous inspection. Staff on duty confirmed that they had attended training in how to recognise and respond to bad practice. Staff have attended training in Dementia Awareness, which they said they had found interesting. The manager has no dealings with resident’s financial affairs. These are dealt with by relative or solicitor acting on behalf of the resident. Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20 & 26 Residents live in premises that are, safe homely, well maintained, comfortable and clean. Safety checks on equipment and regular training for staff ensure residents are protected as far as possible. Residents have access to secure grounds and spacious, well-proportioned rooms. Standards of hygiene and cleanliness throughout the home were of a high standard. No odours were present EVIDENCE: A tour of the home revealed that residents are provided with a wellmaintained, homely, and comfortable environment in which to live. All areas visited were clean and tidy and residents are able to furnish their rooms with their own possessions to make them more homely. Residents are able to use a large dining/ lounge and a rear lounge on the ground floor and another lounge on the first floor. The lift was in working order and the call bell system was noted to be in working order. Residents said the staff were kind and friendly. Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 14 Locks are not routinely provided but residents can have one if they wish, one resident does have a lock fitted. Safety procedures have been tightened in the home and staff record bath temperatures, and follow a bathing policy to ensure residents safety. Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,30 Staffing numbers and skill mix of qualified/unqualified staff are appropriate to the assessed needs of the residents, and layout of the home, and purpose of the home. The majority of staff are qualified nurses from overseas, working as health care assistants or qualified nurses. EVIDENCE: At the time of inspection the manager and a charge nurse were on duty supported by three qualified nurses and four care assistants. The duty rotas showed sufficient staff were on duty throughout the day and night. The training record evidenced that staff receive regular up date training to ensure they have the necessary skills and knowledge to do their job professionally. Recent training has included Food Hygiene, Manual Handling, Dementia Awareness, Safe Handling Of Medication, Infection Control and Huntington’s chorea Disease. Two new staff have been appointed since the previous inspection. A housekeeper and laundry assistant. Their files were up to date and contained the necessary checks and references to ensure they were safe to work with vulnerable people. Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 16 Five staff were interviewed they were motivated and knowledgeable about the residents special needs. They were positive about the home, the team working and support they received from management. Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 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, & 38 Belle Vue Country House provides an open environment for residents to live in. Mrs Lew Kum Hoi is the Registered Manager and under her leadership the home runs well and the staff are supported to carry out their work. It is apparent that the home is run in the best interests of residents. The certificate of registration and insurance certificate were on display in the entrance hall. Monthly visits carried out by the Responsible Individual in respect of Regulation 26 reports were not available. Therefore a requirement to this effect has been made. EVIDENCE: The Registered Manager is a qualified nurse who is currently undertaking the Registered Manager’s Award. Staff record accidents and any follow up action is audited. Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 18 The views of residents and relatives are sought in line with the Quality Assurance Policy. This was discussed and it was agreed it could be expanded to show how the home is achieving its stated aim. The manager is currently undertaking risk assessment for the environment. The last regulation twenty-six reports received from the Responsible Individual was May 2005. The manager confirmed that regular monthly visits were carried out, however the findings have not been submitted monthly as required to the Commission for Social Care Inspection. The manager confirmed that she has no dealings with the finances of residents. Any expenses incurred by the resident are invoiced to their relatives or solicitor acting on their behalf. The handy person confirmed that he carried out regular checks on the hot water system and homes equipment to ensure the residents safety. Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 1 3 3 X X X 3 Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? No 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 32.4 Regulation 26 Requirement The Responsible Individual shall visit the care home in accordance with this regulation and submit a monthly report of the findings to the Commission for Social Care Inspection Timescale for action 30/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Belle Vue Country House DS0000024117.V280407.R01.S.doc Version 5.1 Page 22 - 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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