CARE HOMES FOR OLDER PEOPLE
Benfield Villa Care Home 157 Durham Road Blackhill Consett Durham DH8 5TH Lead Inspector
Mrs Pat English Announced Inspection 5th December 2005 09:30 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.V258529.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 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.V258529.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Benfield Villa Care Home Address 157 Durham Road Blackhill Consett Durham DH8 5TH 01207 581596 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.V258529.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 13th July 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. Benfield Villa Care Home DS0000061959.V258529.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This announced inspection took place over approximately six hours and the Manager and Area Manager assisted during the inspection. Prior to the inspection a total of fourteen comment cards were received from relatives and professionals from the community health team, and during the inspection seven care staff, one resident and one visitor gave their views. On this occasion the inspector looked at a total of ten core standards which were not assessed on the last inspection, these mainly concerned the Environment, Management and Administration, Meals and Medication. What the service does well:
A considerable number of people have expressed their views mainly through their written comments, and these included professionals visiting the home and relatives. Many of them commented on the “warm and welcoming atmosphere” in the home and how “staff are always happy to help”. It was clear that there is a high degree of satisfaction with the standard of care provided and that both staff and management are well thought of. Among the many positive comments were remarks such as “the care is excellent with great attention paid to individual needs”, “the improvements in my mother are amazing” and the overwhelming view was that “staff are very friendly, caring and helpful”. Comments made about the food were all very positive and the menus showed that there was plenty of fresh fruit and vegetables and home baking. Comments such as “the dinners smell and look delicious” and “the meals always look appetising and nicely presented” are examples of those received. There are good communication systems within the home such as very informative notice boards, information leaflets for visitors and regular meetings for staff, residents and relatives. It was commendable to note how much effort was put into seeking the views of relatives and professionals, and this is particularly relevant as the majority of residents have communication difficulties. All staff spoken to were very positive about working conditions and said that they “all work together as a team”. There is evidence of good leadership where the manager is well regarded by staff, residents, relatives and visiting professionals from the community health team and social services. Benfield Villa Care Home DS0000061959.V258529.R01.S.doc Version 5.0 Page 6 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. Benfield Villa Care Home DS0000061959.V258529.R01.S.doc Version 5.0 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.V258529.R01.S.doc Version 5.0 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): These standards were not assessed on this inspection. EVIDENCE: Benfield Villa Care Home DS0000061959.V258529.R01.S.doc Version 5.0 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): 9 and 10 Policies and procedures for dealing with medicines are satisfactory and are being followed appropriately. Care practices in the home promote and protect residents’ privacy, dignity and independence. EVIDENCE: The home uses the monitored dosage system to administer medication which is in line with current guidance. Medication administration records were being completed satisfactorily and medicines including controlled drugs were being stored appropriately. Records of the disposal and receipt of medication were being kept. All staff who administer medication have completed a satisfactory training course in the safe handling of medicines. There were no residents who were able to be responsible for their own medication. Benfield Villa Care Home DS0000061959.V258529.R01.S.doc Version 5.0 Page 10 All comments from relatives confirmed that they were very satisfied with care practices within the home and staff were highly regarded for their respectful and caring attitude. A sample of some of the comments praising the home are “the care is excellent with great attention to individual needs and tender loving care” and “I have nothing but praise for the way they coped with my mother”. Benfield Villa Care Home DS0000061959.V258529.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 and 15 Meals are nutritious and balanced and provide a healthy and varied diet for residents. Care practices within the home promote residents’ independence as far as their individual capabilities will allow EVIDENCE: The food is served in a comfortable and pleasant dining area on both floors. Menus showed that a balanced and nutritious diet is provided with plenty of choice. It was noted that the cooks make their own cakes and pies and always have fresh vegetables and fruit on the menu. Residents are involved in planning the menus which are changed regularly and with the seasons. Written menus are laminated to make them easy to handle and are put in both dining rooms and the main entrance hall for residents’ and visitors’ information. Records of special diets were recorded appropriately. The standard of the food was commended by many of the relatives and visitors to the home who had given their views. They commented “the dinners smell and look delicious”, “meals always look appetising and nicely presented” and “the food is excellent”. Staff also said that the food was very good.
Benfield Villa Care Home DS0000061959.V258529.R01.S.doc Version 5.0 Page 12 Relatives’ comments indicated that they were very satisfied with staffs’ conduct in the home and their respectful and caring attitude to residents. They said they could talk to the staff at any time about residents’ health and wellbeing and staff are “ friendly and informative” and are “always pleasant and happy to help”. Their remarks indicated that the home provides a homely and caring environment for residents. Meetings for relatives and residents are held by the home where they are given the opportunity to express their views and are kept informed of matters concerning the home. Benfield Villa Care Home DS0000061959.V258529.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The policies and practices of the home ensure that residents are safeguarded from abuse or harm. EVIDENCE: The home’s policies and procedures for the protection of vulnerable adults were satisfactory. The staff training programme included appropriate training courses in the safety and protection of vulnerable adults and it was evident that all staff were enrolled on these courses as a matter of priority. Benfield Villa Care Home DS0000061959.V258529.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 Policies and procedures for the control of infection are being followed ensuring that the home is kept clean, pleasant and hygienic. EVIDENCE: The laundry, sluicing facilities, toilets and bathrooms were clean and hygienic. Issues raised on previous inspections relating to the number of domestic hours allocated on the staff rota have been resolved. It was noted that there is now a cleaning rota for domestic staff which has improved their efficiency in this area. Training in health and safety and infection control was included in the staff training programme. The manager stated that two members of staff are to complete an additional health and safety course to enable them to act as health and safety representatives for the home. Also, there are plans to hold “health and safety meetings” on a three monthly basis between the manager and the two representatives. This is good practice and ensures that health and safety remains a high priority in the home.
Benfield Villa Care Home DS0000061959.V258529.R01.S.doc Version 5.0 Page 15 Standard 19 was assessed on the last inspection when an issue was raised over the fact that some carpets and furnishings were showing signs of wear and tear. It was confirmed that a programme of redecoration and refurbishment is in place and that each bedroom will eventually be refurbished systematically as part of this programme. It was noted that bathrooms had been cleared of clutter and were being redecorated. Also new laundry equipment has been provided and this was said to be in good working order. Benfield Villa Care Home DS0000061959.V258529.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this inspection. EVIDENCE: Benfield Villa Care Home DS0000061959.V258529.R01.S.doc Version 5.0 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): 31, 33, 35 and 38 There is effective leadership, guidance and direction of staff to ensure that the home is run in the best interests of residents. Overall, practices within the home promote and safeguard the health, safety and welfare of residents and staff. EVIDENCE: There are clear lines of accountability within the home with the manager being supported by a deputy manager and six senior care workers. The manager stated that she has good support from external management and attends monthly meetings with the area manager, and two directors of the Company. The manager is in the process of completing her training for the registered managers award and the deputy manager is also to do this course. Comments from relatives and visiting professionals confirmed that relationships within the home were friendly and supportive. Many of them
Benfield Villa Care Home DS0000061959.V258529.R01.S.doc Version 5.0 Page 18 remarked on there being, “a very welcoming and friendly atmosphere” and how both the manager and staff were “always very caring and helpful”. A number had remarked on how the home has improved in the past year, for example “I have noticed improvements in staff morale and residents’ care” and “the improvements have been solely due to the high standards and aspirations set by the manager and all the carers”. There are good communication systems within the home such as very informative notice boards and information leaflets. There is much evidence to show that management place a strong emphasis on seeking the views of residents, relatives and visiting professionals, and this is particularly relevant as the majority of residents have communication difficulties. Views are sought through the use of comment cards, a suggestion book, a programme of meetings held for staff, residents and relatives and a yearly quality assurance questionnaire. Staff who gave their views confirmed that they felt very well supported by the manager and that they all worked as a team. Residents’ personal finances were being handled satisfactorily. There was an ongoing maintenance programme in place for the servicing of equipment and maintenance of heating and electrical systems etc., and there was evidence from the maintenance contracts and service certificates that that the programme was kept up to date. Benfield Villa Care Home DS0000061959.V258529.R01.S.doc Version 5.0 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X 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.V258529.R01.S.doc Version 5.0 Page 20 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. 1. Standard OP29 Regulation 19 Schedule2 Requirement Where applicants have previously worked in a position which involved work with children or vulnerable adults, verification of the reason why they ceased to work in that position must be obtained, so far as reasonably practicable (previous timescale of 31 August 2005 not met) To ensure any gaps in previous employment can be checked, the applicant must give details of a full employment history and dates of employment Carpets and furniture showing signs of wear and tear must be repaired or replaced as necessary Timescale for action 31/12/05 2 OP19 13/23 30/04/06 Benfield Villa Care Home DS0000061959.V258529.R01.S.doc Version 5.0 Page 21 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.V258529.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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