Inspection on 25/01/07 for Derwentside Dementia Care Centre

This inspection was carried out on 25th January 2007.

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

Derwentside Dementia Care Centre 01/07/09

Derwentside Dementia Care Centre 23/01/09

Derwentside Dementia Care Centre 05/12/05

Derwentside Dementia Care Centre 13/07/05

Derwentside Dementia Care Centre 15/12/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Benfield Villa Care Home 157 Durham Road Blackhill Consett Durham DH8 5TH Lead Inspector Denise Huscroft Unannounced Inspection 25th January 2007 10:00 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 Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 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. Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Benfield Villa Care Home Address 157 Durham Road Blackhill Consett Durham DH8 5TH 01207 581596 01207 588956 lk@mentalhealthcare.co.uk 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) Mental Health C.A.R.E. Lynne Kelly Care Home 30 Category(ies) of Dementia - over 65 years of age (16), Old age, registration, with number not falling within any other category (14) of places Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2005 Brief Description of the Service: Benfield Villa is a care home providing personal care and accommodation for 14 older people and 16 older people with dementia. The registered provider is Mental Health Care. The home is located on the main street in Blackhill, which is an area on the outskirts of Consett and is close to houses, shops, a pub and other amenities. It was first opened in 1990 and consists of a two-storey building from the Victorian period. There are gardens to the front and rear, an indoor courtyard and car parking facilities. The accommodation is split into two units with the first floor accommodating older people with dementia. There is a passenger lift for access. There are no en-suites facilities but an adequate number of bathrooms and toilets are provided. Each unit has spacious lounge and dining areas including a conservatory leading from the ground floor lounge. A hairdressing salon is located on the first floor. Current Fees: Residential £365 EMI £415 Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced. It took place over 6 hours and included a site visit, 2 resident file inspections, 3 staff file inspections and interviews with 2 residents, 3 members of staff and 1 relative by telephone. A pre inspection questionnaire, 11 relative surveys, 1 resident survey and 6 visiting professional surveys were received before the site visit. The manager was present throughout the inspection. What the service does well: What has improved since the last inspection? Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 6 The last inspection required staff applications to include information on reasons for leaving previous employment and to account for any gaps in employment. The staff files examined included newly appointed staff and confirmed that correct procedures were being followed. The last inspection set a requirement for carpets and furniture showing signs of wear and tear to be repaired or replaced as necessary. On this inspection all rooms were looked at and this confirmed the programme of redecoration and refurbishment was almost complete. The lounge/dining areas and corridors were all found to be clean, and pleasant. One health care visitor said “a lot of work has been undertaken in décor and furnishings which enhances the environment for residents and staff alike” another said “the home is always spotlessly clean”. 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. The summary of this inspection report can be made available in other formats on request. Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 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 Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A full assessment of need is carried out before anyone is offered a place in the home to make sure all needs can be met. EVIDENCE: The case files of 2 residents were inspected. The manager explained that perspective residents and their families are invited to look around the home and are given a copy of the service users guide which outlines the admission procedure. The manager then visits them and carries out a further assessment to make sure the home can meet all of their needs. The home has a stepped approach admission which means people can have a series of short stays at the home before a permanent placement is offered. Relatives spoken to were able to confirm that they had enough information and introductions before placements started. Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have individual care plans setting out their health, social and personal needs. Residents’ health care needs are fully met. Policies and procedures are in place to make sure medication is stored and administered appropriately. Residents are treated with respect and dignity at all times. Working practices in the home ensure privacy is upheld. Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 10 EVIDENCE: The files examined showed individual care plans which detailed how residents health, personal and social needs are met. The plans gave information on residents’ likes/dislikes, risk assessments, nutritional assessment, weight monitoring, behaviour ratings and sleep monitoring. Additional record sheets were held for visits from G.P, chiropodist and social workers. Staff said residents and relatives were always involved in writing the plans which are reviewed on a monthly basis. Comments from visiting health and social care professionals included “the care of clients has been exceptionally good” and “staff are very caring and informative about patients conditions and progress”. Relatives described the level of care as “exceptional” and “excellent”. There are no residents able to administer their own medication. The home uses the monitored dosage system to administer medication. There are policies and procedures in place to make sure it is stored and administered safely. A sample of records were checked and found to be in order. Throughout the inspection staff were observed showing residents respect when talking to them. During the tour of the premises staff knocked on all doors before entering and asked residents if they wanted to speak to the inspector in private. In one room a resident’s personal mail was on their drawers unopened. Relatives said that staff treated residents with dignity at all times. Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are provided with a variety of activities to meet their social cultural and spiritual needs. The home encourages and supports residents to have contact with family and friends. Residents are supported in making choices as far as they are able. Residents receive a tasty, balanced menu in pleasant dining areas. EVIDENCE: The home has an activities co-ordinator who works 20 hours each week. There is a wide variety of activities organised including bingo, keep fit, skittles, weekly sherry night and quiz’s. The residents also get the opportunity to go out on trips to the coast, theatre, pubs and restaurants. On the day of the Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 12 inspection the residents were enjoying a pamper day which is a regular favourite. There is information in the main corridors about the activities outlining what is happening. Each resident’s file contains details of which activities they have enjoyed taking part in. The co-ordinator also has information on future events taking place locally which she hoped to take residents to if they were interested. The residents’ spiritual needs are met through weekly church services or individual communion for those who want it. One resident goes to a local church each week with family but could be taken by staff if necessary. The home operates an open visiting policy with relatives being made welcome at any time. Relatives confirmed this, comments included ”they always welcome me with a smile and a chat and they all use first names which I think is lovely”. Residents can choose to see visitors in private or in any of the main living areas. One resident has relatives in America who the manager emails regularly to let them know how things are. The residents are helped to make choices in as many areas as they are able. This included decisions about décor with residents choosing from paint and wallpaper samples and individual choices such as 2 residents choosing to keep budgies in the home as pets. During the inspection staff were observed taking peoples views into consideration over activities and food and drink. They were asked if they wanted help or assistance and staff said residents’ personal choices could determine the routine. The home provides a varied menu which gives residents two choices for each meal. If residents don’t like what is on the menu they can choose an alternative. The home provides all home baked food with a special menu for residents with diabetes and fresh fruit is always available. The cook also bakes birthday cakes for residents which is greatly appreciated. Relatives said the food “always smelled delicious” and 1 resident said “food’s always very good”. Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure in place which residents and relatives are aware of. Policies and procedures are in place to protect residents from abuse. They are supported by specific staff training. EVIDENCE: The home has a complaints procedure which all residents receive with their service user guide. This includes the right and process of appeal should this be necessary as well as contact details for the Commission for Social Care Inspection. The information is also clearly displayed in the reception area. Relatives and resident surveys confirmed they were aware of this procedure and confident it would be acted upon. One relative who was spoken to said she had complained in the past and was very happy with how it was handled. A resident said “the complaints leaflets are beside the front door”. The home’s record of complaints was examined and found to be up to date. The home has policies and procedures in place for the protection of vulnerable adults. All staff have POVA training which includes whistle blowing procedures. Staff spoken to had a good understanding of these issues and were confident of what action to take if an incident arose. Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident the home is safe and well maintained. The home is kept clean, pleasant and hygienic. EVIDENCE: The last inspection set a requirement for carpets and furniture showing signs of wear and tear to be repaired or replaced as necessary. On this inspection all rooms were looked at and this confirmed the programme of redecoration and refurbishment was almost complete. The lounge/dining areas and corridors were all found to be clean, and pleasant One health care visitor said “a lot of work has been undertaken in décor and furnishings which enhances the Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 15 environment for residents and staff alike” another said “the home is always spotlessly clean”. The pre inspection questionnaire showed all maintenance checks were carried out within appropriate timescales. A selection of records and certificates were examined during the inspection and found to be in order. Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27 ,28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of staff with a mix of skills to meet the residents’ needs. Residents can be confident they are safe in the home. The home follows appropriate recruitment policies and procedures. Staff receive sufficient training and support to do their jobs. EVIDENCE: The pre inspection questionnaire provided staff rotas which show there is sufficient staff with a range of skills and experience to meet the residents’ needs. Relative and resident surveys confirmed that there were always sufficient staff available. Staff were described as “lovely people” and “very friendly and helpful”. The staff are supported in obtaining further qualifications with 80 having National Vocational Qualification level 2 or above. The home has also been awarded the Investors in People award which shows a commitment to the support, development and training of staff. Staff receive regular supervision and found the manager to be very approachable. Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 17 The last inspection required staff applications to include information on reasons for leaving previous employment and to account for any gaps in employment. The staff files examined included newly appointed staff and confirmed that correct procedures were being followed. The home has an extensive training programme to support staff in doing their jobs which includes moving and handling, first aid, food hygiene, fire and safety, POVA (including whistle blowing), dementia, infection control, safe handling of medication, death and dying and challenging behaviour. Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 &38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run by an effective manager. The home is run in the best interests of the residents. Policies and procedures are followed to protect the financial affairs of residents. Practices within the home promote the health and safety of residents and staff. EVIDENCE: Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 19 The manager of the home has NVQ level 3 and is about to start studying for level 4. In addition she recently gained her Registered Managers Award. The manager takes overall responsibility for the effective management of the home with each floor being co-ordinated by a senior member of staff. The home manager receives support and direct supervision from the assistant Director of Operations. One relative said “mam is very well looked after and I would not hesitate to recommend the home for anyone wanting a placement” another said “the manager is wonderful and helpful. Nothing is too much trouble”. The home has various ways of gathering the views of residents and relatives including complaints, compliments and suggestions forms located in reception as well as a general comments book which everyone is encouraged to use. A relative questionnaire is sent out annually with the replies being monitored by head office and a summary available from the home. An external NVQ assessor wrote “It has been a pleasure to see a home well run and clean with people who so obviously enjoy their jobs”. Resident/relative meetings are also held within the home. The home has policies and procedures in place to protect the residents finances, recording income and expenditure. A selection of records and receipts were examined and found to be in order with 2 signatures for all entries. The records are also subject to regular spot audits from the company head office. The health, safety and welfare of residents and staff are protected by health and safety policies and procedures which comply with relevant legislation and are supported by staff training. Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 20 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 3 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 4 x 3 x x 3 Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes 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. Standard Regulation Requirement Timescale for action 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 Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 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 © 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 Benfield Villa Care Home DS0000061959.V321777.R01.S.doc Version 5.2 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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