CARE HOMES FOR OLDER PEOPLE
Normanton and Village View Care Home 101 Village Street Normanton Derby DE23 8DF Lead Inspector
Vanessa Davies Unannounced Inspection 24th November 2005 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 Normanton and Village View Care Home DS0000063707.V263013.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. Normanton and Village View Care Home DS0000063707.V263013.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Normanton and Village View Care Home Address 101 Village Street Normanton Derby DE23 8DF 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) 01509 212666 Rushcliffe Care Limited Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Normanton and Village View Care Home DS0000063707.V263013.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. 4. 5. To update the property in accordance with the items identified in the site visit report and letter dated 31/01/05. To appoint a manager for the home when the variation is complete ie (combining Village View and Normanton View. For the DE(E) service users to be accommodated on the first floor of proposed Unit within Village View. For an individual to be accommodated in the category of LD under 65. For an individual to be accommodated in the category of OP under 65. Date of last inspection Brief Description of the Service: Village View Care Home with Nursing is a purpose built Home providing nursing care for 40 Older People. The Home is located close to one other care home owned by the same company.The Home has recently had a change of providers, the new provider being Rushcliffe Care.The Home has 32 single and 4 double bedrooms, located on the ground and first floor. A number of bedrooms have en-suite facilities. Access to the first floor is by the staircases or via a passenger lift. Village View is approximately three miles from Derby city centre, and is close to local shops and facilities. The home has a large lounge and adjoining dining area on the ground floor, and a lounge on the first floor. The Home has a smoking area and a small garden for Service Users. Normanton and Village View Care Home DS0000063707.V263013.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced. Information for this report was gathered by speaking with residents, the manager and the new senior manager. This is the first inspection since Rushcliffe Care became the registered providers. What the service does well: What has improved since the last inspection? What they could do better:
Staff are aware of the social needs of the residents, however on the day of inspection they did not appear to be aware of the importance of meeting these needs.
Normanton and Village View Care Home DS0000063707.V263013.R01.S.doc Version 5.0 Page 6 Staff records or copies of staff records need to be kept at the home. Staff need to receive 1:1 supervision with their line manager on a regular basis, at least 6 times per year. 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. Normanton and Village View Care Home DS0000063707.V263013.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 Normanton and Village View Care Home DS0000063707.V263013.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): EVIDENCE: Relevant key standards were assessed at the previous inspection. Standards within this section were not assessed on this occasion. Normanton and Village View Care Home DS0000063707.V263013.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 Appropriate storage and recording of medication ensures the safety of the residents. EVIDENCE: The home has a policy and procedure for the administration of medication. All files examined had detailed information regarding the residents’ medication and what it is given for. Registered nurses administer medication. The home documents all medication received, administered and returned, appropriately. All controlled medication is documented and stored properly. Normanton and Village View Care Home DS0000063707.V263013.R01.S.doc Version 5.0 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): 12,13 Detailed information relating to social needs assists staff to meet residents needs, however staff not realising the importance potentially means needs are not met. EVIDENCE: Each file had a detailed assessment of need and a completed ‘Getting to know you’ document. This provides staff with detailed information relating to the social needs of the residents, therefore enabling staff to meet their needs. The home has a variety of events planned for the Christmas period. On the day of inspection one resident was wandering around the lounge looking for someone to play cards with, staff had little time to both communicate with her and to sit down to play cards. This was discussed with the manager at feedback, who intended to address it. Relatives were visiting the home throughout the inspection and were made welcome by the staff. The home places no restrictions on visiting. Normanton and Village View Care Home DS0000063707.V263013.R01.S.doc Version 5.0 Page 11 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): EVIDENCE: Relevant key standards were assessed at the previous inspection. Standards within this section were not assessed on this occasion. Normanton and Village View Care Home DS0000063707.V263013.R01.S.doc Version 5.0 Page 12 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): EVIDENCE: Relevant key standards were assessed at the previous inspection. Standards within this section were not assessed on this occasion. Normanton and Village View Care Home DS0000063707.V263013.R01.S.doc Version 5.0 Page 13 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): 29 EVIDENCE: The inspector was unable to assess standard 29 as staff records are currently not kept in the home. Arrangements will be made to inspect at a later date. Normanton and Village View Care Home DS0000063707.V263013.R01.S.doc Version 5.0 Page 14 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): 33,36 Regular monitoring of the service enables the manager to make positive changes as necessary and continually improve the service to meet the needs of the residents. EVIDENCE: The Senior Management team provide a great deal of support for the manager. The Senior Management team monitor the home on a regular basis, Regulation 26 visits with reports, Health & Safety monitoring, financial records. The manager monitors financial records, care plans and medical notes. The manager has started to carry out supervisions with staff, however they are still not meeting the National Minimum Standard of 6 per year. The manager stated that she does intend to address this. Normanton and Village View Care Home DS0000063707.V263013.R01.S.doc Version 5.0 Page 15 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 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 1 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X 2 X X Normanton and Village View Care Home DS0000063707.V263013.R01.S.doc Version 5.0 Page 16 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 OP7 Regulation 17.1 Sch 3 3(q) Requirement The Registered Person must keep a record of any limitations agreed with the service user as to the freedom of choice, liberty of movement. The Registered person must ensure that service users wishes and feelings are taken into account The Registered person shall ensure that the care home promotes and makes proper provision for the health and welfare of the service users. The staff should be appropriately supervised. Timescale for action 31/01/06 2 OP11 12.3 31/01/06 3 OP8 12.1 31/01/06 4 OP36 18.2 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP2 Good Practice Recommendations The registered person should ensure that terms and conditions are explained and completed with service users
DS0000063707.V263013.R01.S.doc Version 5.0 Page 17 Normanton and Village View Care Home 2 OP12 and relatives/friends. Staff should be made aware of the improtance of meeting social needs of the residents. Normanton and Village View Care Home DS0000063707.V263013.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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