Inspection on 04/01/06 for Old Vicarage The

This inspection was carried out on 4th January 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

Old Vicarage The 26/09/06

Old Vicarage The 07/09/05

Old Vicarage The 25/11/04

Old Vicarage The 12/08/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Old Vicarage The 75 High Street Airmyn Goole East Yorkshire DN14 8LD Lead Inspector Ann Day Unannounced Inspection 1.50pm 4 January 2006 th 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 Old Vicarage The DS0000019751.V262166.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. Old Vicarage The DS0000019751.V262166.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Old Vicarage The Address 75 High Street Airmyn Goole East Yorkshire DN14 8LD 01405 763699 01405 760399 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) Jumacare Limited Mrs Amanda Pepper Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (22) of places Old Vicarage The DS0000019751.V262166.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th September 2005 Brief Description of the Service: The Old Vicarage is situated in a village setting close to Goole, East Yorkshire. It is registered to provide care for 22 elderly persons, both male and female. The home has two lounges, a separate dining room and an additional lounge/dining area. A small patio area is available adjacent to the lounge along with a larger paved courtyard and gardens. Accommodation is provided in a range of double and single rooms many of which have en-suite toilet facilities. Three bathrooms are provided for service users, two of which are adapted for service users with mobility problems. Old Vicarage The DS0000019751.V262166.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report relates to an unannounced inspection that took place on the afternoon of Wednesday 4th January 2006. There were 19 service users resident in the home, receiving personal care. The inspection focused on a number of key standards. An tour of the premises took place, including a number of bedrooms, the homes dining room and lounges. The care records of three service users were examined in detail and where possible these service users were spoken with about the care they receive. There were also discussions with an additional four service users, two members of staff on duty at the time of inspection, the registered manager and one relative of a service user. What the service does well: What has improved since the last inspection? Old Vicarage The DS0000019751.V262166.R01.S.doc Version 5.0 Page 6 The home has gone through an extensive refurbishment programme over the last year, there have been considerable improvements; a newly fitted kitchen, new heating system, laundry and alarm system; redecoration, fixtures and fittings, bed linen, carpeting and dining accessories. It is the owner’s intention to further upgrade bathing facilities in the home. There were no requirements or recommendations following the last inspection in September 2005. 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. Old Vicarage The DS0000019751.V262166.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 Old Vicarage The DS0000019751.V262166.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): 3,5 Service users needs are fully assessed prior their admission to the home, enabling the home’s staff to meet their individual needs. EVIDENCE: Care records of three service users were examined. A senior member of the home’s team assesses prospective service users prior to their admission. Service users/relatives are able and encouraged to visit the home prior to admission to meet with staff and see their prospective room before making a decision to come into the home. Some service users initially have respite care at the home until they make a decision about permanency. Information about service users health and personal care needs had been documented and information gathered from relatives and other health professionals giving a good picture of the care that needed to be provided The home does not provide intermediate care; standard 6 was not assessed. Old Vicarage The DS0000019751.V262166.R01.S.doc Version 5.0 Page 9 Old Vicarage The DS0000019751.V262166.R01.S.doc Version 5.0 Page 10 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): 7,8,10,11 Service users health and personal care needs are fully met, and they are treated with respect, sensitivity, and their right to privacy is upheld. EVIDENCE: Care records of permanent residents were found to be well kept and comprehensive. Care plans were detailed; reviews were documented and key workers recorded monthly evaluation of the care provided for each individual resident. The care records of two individuals in the home for a period of respite were not completed in the same detail, it was recommended that care records for respite service users would benefit from increased detail and care planning to better inform any decision making regarding their individual futures. Members of staff were seen knocking on bedroom doors and awaiting an invitation before entering. The manager and staff were seen to have good relationships with the residents, and residents commented, “Lucky to be here, staff very good girls”. “Well looked after here”. Old Vicarage The DS0000019751.V262166.R01.S.doc Version 5.0 Page 11 The home has policy and procedures to ensure the care of the dead and the dying; individual’s wishes are recorded. Residents and staff have been well supported by local clergy after the recent sad loss of the very much valued, manager’s deputy. Old Vicarage The DS0000019751.V262166.R01.S.doc Version 5.0 Page 12 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): 12,13,14,15 Service users are provided with the opportunity to engage in a variety of activities, satisfying their social, cultural and religious needs. Service users maintain contact with family and friends as they wish; they are helped to exercise choice and control over their lives; and they receive a wholesome appealing balanced diet in pleasing surroundings. EVIDENCE: The home has a comfortable and relaxed atmosphere. The home has an activities coordinator who works in the home every Friday, the programme of activities is varied and residents choose to engage, or not in the home’s organised activities. Residents were seen watching television, model making, chatting with each other, reading newspapers and having visitors. Residents and members of staff confirmed that they choose the time they rise and retire to bed on an individual basis. The residents’ likes, dislikes and preferences are recorded. Menus are displayed on well-presented tables and service users can choose to eat in their rooms if they wish. Residents’ comments about the food provided were positive. Old Vicarage The DS0000019751.V262166.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): 16,17,18 Service users and their relatives are confident that their complaints will be listened to, taken seriously and acted upon, their legal rights are protected and there are policies and procedures in place to protect them from abuse. EVIDENCE: The home has a comprehensive complaints policy and procedures. Service users and members of staff said that they would have no hesitation in raising any concern with the manager, in the knowledge that she would treat their concerns seriously. The registered manager has ensured that every resident has a postal vote, enabling them to take part in local and national elections. Residents have access to a solicitor to advocate on their behalf. The home makes available policies and procedures and local guidance for the Protection of vulnerable adults; however, it is recommended that members of staff attend Adult Protection Awareness training. Old Vicarage The DS0000019751.V262166.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): 19,20,21,22,23,24,25,26 Service users live in a safe, well maintained; clean environment, with their own possessions about them. EVIDENCE: The home provides comfortable, homely and attractive accommodation for service users. The home is well maintained and there is a refurbishment and maintenance programme in place. Furnishings and décor are comfortable, domestic in nature and of good quality. The home has gone through an extensive refurbishment programme over the last year, there have been considerable improvements; a newly fitted kitchen, new heating system, laundry and alarm system; redecoration, fixtures and fittings, bed linen, carpeting and dining accessories. Many of the bedrooms in the home have en suite facilities. Three bathrooms are provided for service users, two of which are adapted for service users with mobility problems. It is the owner’s intention to further upgrade bathing facilities in the home Old Vicarage The DS0000019751.V262166.R01.S.doc Version 5.0 Page 15 The home has secure well-maintained gardens for service users to enjoy. Service users rooms are personalised with pictures, photographs and small items of furniture they have brought from home. The home was clean and fresh smelling throughout and gloves and aprons were in good supply, infection control policies and procedures are in place. There is one designated smoking area in the home for the two residents in the home currently who smoke; it is pleasantly appointed and has access to the courtyard area outside. The home provides an environment of a high standard. Old Vicarage The DS0000019751.V262166.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): 27,28,30 Service users’ needs are met by sufficient competent and trained members of staff, and are protected by the home’s recruitment policy and practices. EVIDENCE: Sufficient numbers of staff were on duty on the day of the inspection to meet the needs of the current 19 residents of the home. The registered manager confirmed that staffing is adjusted to meet the needs and numbers of service users in the home. The manager works as one of the care team, and is enabled by supernumerary time to complete her management responsibilities. The home has robust recruitment policies and procedures in place. Staff files were not inspected on this occasion. Members of staff have attended fire, moving and handling training and medication training and when spoken to, were knowledgeable and up to date about care and treatment required by individual service users. Four members of staff are currently undertaking NVQ Level 2 and two staff have already achieved the qualification. The manager is intending to complete the training commenced by her deputy, who died suddenly in early December 2005. Old Vicarage The DS0000019751.V262166.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): 31,32,33,37,38 The home is well managed and provides a safe place for service users to live and staff to work. EVIDENCE: Amanda Pepper, the registered manager is a registered nurse with many years experience, she has completed NVQ Level 4 & the Registered Managers Award. She has managed the home for seven years. The registered manager and or the owner are available in the home on a daily basis to deal with issues as they arise. Regular meetings/ consultations are held with service users to enable everybody who lives and works in the home to have a say on how the home is run. There is evidence that staff undertake health and safety training on an ongoing basis and that there are relevant policies and procedures available for Old Vicarage The DS0000019751.V262166.R01.S.doc Version 5.0 Page 18 inspection. The fire alarm system checks had been undertaken and there is a fire risk assessment in place. Old Vicarage The DS0000019751.V262166.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 4 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X 3 3 Old Vicarage The DS0000019751.V262166.R01.S.doc Version 5.0 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. 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. 1 2 Refer to Standard OP8 OP18 Good Practice Recommendations Care records for respite service users would benefit from increased detail and care planning to better inform any decision making regarding their individual futures. Members of staff would benefit from attendance at Adult Protection awareness training. Old Vicarage The DS0000019751.V262166.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Old Vicarage The DS0000019751.V262166.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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