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Inspection on 21/07/05 for St Vincent House

Also see our care home review for St Vincent House for more information

This inspection was carried out on 21st July 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is run for the benefit of its service users and provides good quality care in a well-maintained and pleasant environment. Visitors were made welcome and relations in the home were relaxed and friendly. Service users stated that the staff were always friendly and got on well together. Service users said that they were always treated with dignity and respect and that the manager and staff are approachable and all service users spoken to praised the quality and choice of food available at the home. Staff stated that they enjoyed working at the home and that they were provided with regular training and updates in order for them to do their job effectively.

What has improved since the last inspection?

Since the last inspection the requirements and recommendations made at the last inspection have been addressed and some of the service users bedrooms have been re-decorated.

What the care home could do better:

Service users felt that the home was providing a good quality service and the inspection found that there was very little that needed to be done to improve the service on this occasion. 1 Requirement and 1 recommendation was made as a result of this inspection. It was noted that care plans were using two different codes for recording of events and it was recommended that staff are made aware of this and that the home establish a single code structure for the recording on care plans. It was also found the medication record sheets were being completed but in some cases the reverse of the record sheets were not being filled in.

CARE HOMES FOR OLDER PEOPLE St Vincent House Forton Road Gosport Hampshire PO12 4TH Lead Inspector Michael Gough Unannounced 21 July 2005 - 11:00am 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 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. St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Vincent House Address Forton Road Gosport Hampshire PO12 4TH 023 9235 1668 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) St Vincent Care Homes Limited Mrs L Lawrence CRH 34 Category(ies) of DE - Dementia (13) registration, with number DE(E) - Dementia - over 65 (26) of places OP - Old Age (34) PD - Physical disability (16) PD(E) - Physical disability - over 65 (16) St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service suers in the categories DE and PD not to be admitted under the age of 55 years. Date of last inspection 25 January 2005 Brief Description of the Service: St Vincent’s House is a large well maintained detached house set in its own grounds; the house is a grade II listed building and has a large enclosed rear garden. There is parking at the front of the building. The home is registered with the Commission for Social Care Inspection (CSCI) to provide residential care for up to 34 older people 26 of which may be suffering from age related mental health problems. There are 22 single rooms and 6 double rooms and the house is situated on the main road into the town centre of Gosport and is close to local amenities. St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3.5 hours and was unannounced. The inspector was assisted by the homes manager throughout the inspection. Evidence for this report was obtained by speaking with 16 service users, 6 members of staff and from reading and inspecting records, touring the home and from observing the interaction between staff and service users. What the service does well: What has improved since the last inspection? What they could do better: Service users felt that the home was providing a good quality service and the inspection found that there was very little that needed to be done to improve the service on this occasion. 1 Requirement and 1 recommendation was made as a result of this inspection. It was noted that care plans were using two different codes for recording of events and it was recommended that staff are made aware of this and that the home establish a single code structure for the recording on care plans. It was also found the medication record sheets were being completed but in some cases the reverse of the record sheets were not being filled in. St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 Page 6 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. St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 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 standard(s) 3, 4 & 6 Each service users has a needs assessment carried out before they move into the home and the home meets the needs of individual service users. Intermediate care is not provided at the home. EVIDENCE: The manager carries out an individual needs assessment prior to service users moving into the home and service users spoken to confirmed that someone had been to see them and talk about their needs before they moved in. All service users spoken to felt that their individual needs were met by the home and stated that they were well supported by the homes staff. The inspector observed staff supporting service users appropriately. St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 & 10 The health, personal and social care needs of service users are set out in an individual plan of care, however it was recommended that care plans use a single code structure for the recording on care plans. Service users have access to all relevant health care professionals and the health care needs of service users are met. The receipt, storage and administration of medication is satisfactory, however it was recommended that the back of the medication record sheets are completed where appropriate. Service users are treated with dignity and respect at all times and there right to privacy is upheld. EVIDENCE: Care plans were seen for 3 service users and these were comprehensive documents and were clear and easy to follow, they contained all relevant information, however there was some confusion due to the fact that the recording codes used in some care plans were different from others and a recommendation was made to address this problem. Service users spoken to stated that their needs were met by the home and comments such as “ I am well looked after” and “I am quite happy here” were made by service users spoken to. Service users are registered with a number of different GP’s in the local area and dental and eye sight checks are carried out at the home or at local surgeries. St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 Page 10 The home has appropriate policies and procedures in place with regard to medication and staff authorised to administer medication have received appropriate training, it was noted that staff were not completing the reverse of the medication record sheets when required on some occasions and it is a requirement that medication records, which ever style has been chosen by the service must be completed fully and accurately every time. Staff was observed inter-reacting with service users and it was clear that service users were treated with dignity and respect and this was confirmed by those service users spoken to. St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 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 standard(s) 12, 13 & 15 Service users are able to keep contact with family and friends and visitors are always welcome. The home respects service user wishes on whom they do or do not wish to see. Meals at the home are wholesome and appealing and provide a well balanced diet. EVIDENCE: There is a notice in the entrance hall at the home, which gives clear information on visiting, there are no restrictions but visitors are asked to respect meal times and all visitors are required to sign the visitor’s book. The home keeps appropriate records about the food provided to service users and operates a four-week rolling menu, which is changed regularly. Staff was observed consulting residents about the choices available and all service users spoken to stated that the food was good and that portions were ample. Staff were observed supporting service users at meal times and service users spoken to stated that there were sufficient staff around to help if needed. St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 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 standard(s) 16 & 18 There is a simple, clear and accessible complaints procedure, which includes timescales for the process and any complaints are logged and responded to appropriately and the home is committed to the protection of its service users. EVIDENCE: Service users spoken to were confident about raising any concerns they may have and stated that they would address any complaint they may have to a staff member or to the homes manager. The home has a policy and procedure for dealing with any complaints and this contained all of the required information and gave details of how to contact the CSCI. Staff members spoken to were aware of the complaints procedure. Staff have received training on adult protection and the home has a whistle blowing policy and also a copy of the Hampshire Adult Protection procedure. Staff spoken to were aware of their responsibilities in this area and knew what to do should they suspected any form of abuse had taken place. St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 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 standard(s) 26 The home is clean and hygienic throughout and free from offensive odours. EVIDENCE: Policies and procedures are in place to control the spread of infection and staff have received training in infection control. Staff are provided with gloves and protective clothing and service users confirmed that staff wear protective clothing at appropriate times. There is a separate laundry at the home and hand washing facilities are provided. The home has a contract for dealing with clinical waste and washing machines at the home are of an industrial nature and can wash and dry clothing at appropriate temperatures. St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the standards in this section were inspected on this occasion. EVIDENCE: St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the standards in this section were inspected on this occasion. EVIDENCE: St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 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 Standard No 16 17 18 Score 3 x 3 x x x x x x x x St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 Page 17 no Are there any outstanding requirements from the last inspection? 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 9 Regulation 13 Requirement it is a requirement that medication records, which ever style has been chosen by the service must be completed fully and accurately every time. Timescale for action 10/9/05 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 7 Good Practice Recommendations it was recommended that care plans use a single code structure for the recording on care plans. St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton Hampshire SO15 1GW 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 St Vincent House H54 S11868 St Vincent House V239011 210705 Stage 4.doc Version 1.40 Page 19 - 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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