Inspection on 04/01/06 for St Vincent House

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

St Vincent House 12/02/09

St Vincent House 12/03/07

St Vincent House 15/07/05

St Vincent House 14/03/05

St Vincent House 22/11/04

St Vincent House 22/03/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE St Vincent House 20 - 21 Clarence Parade Southsea Hampshire PO5 3NU Lead Inspector Annie Kentfield Unannounced Inspection 4th January 2006 14:00 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 St Vincent House DS0000012388.V250861.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. St Vincent House DS0000012388.V250861.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service St Vincent House Address 20 - 21 Clarence Parade Southsea Hampshire PO5 3NU 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) 023 9242 2822 St Vincent Care Homes Limited Mr M Canbek Care Home 26 Category(ies) of Dementia (6), Dementia - over 65 years of age registration, with number (13), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (6), Old age, not falling within any other category (26), Physical disability (4) St Vincent House DS0000012388.V250861.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in category DE must not be admitted under 60 years of age. 15th July 2005 Date of last inspection Brief Description of the Service: St Vincent House is one of two care homes for older people, owned and managed by St Vincent Care Homes Limited. The home is a large wellmaintained property converted to provide care for up to 26 older people within the categories listed above. The building enjoys fine views at the front across the Southsea Esplanade and the Solent. At the back of the building there is a sunny and secluded courtyard garden for the residents to enjoy in the summer months. The accommodation, that includes 20 single bedrooms and 3 double bedrooms, is over several floors with stairs or a passenger lift providing access to the upper floors. St Vincent House DS0000012388.V250861.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection and took place over two visits; 4th and 31st of January. Both the manager and the deputy manager were in the home. There were 23 residents at the time of the inspection with 4 care staff on duty and also ancillary staff. The inspection did not look at all of the National Minimum Care Standards – only those considered ‘key’ standards; that were not assessed at the last inspection of 15th July 2005. The inspection included a partial tour of the premises, inspection of some of the records, and discussion with some of the residents and staff. Comment cards were left for residents and/or visitors to complete and return if they wished to and some relatives returned comment cards with helpful feedback for the home. What the service does well: The home offers a comfortable and ‘homely’ environment for the residents and is clean and tidy and attractively decorated and furnished. Many of the residents spoken to appreciated the location of the home; on the Southsea Esplanade, with fine views of the Solent from the front windows. It was evident from resident’s comments that staff in the home respect individual choices and preferences about how care is provided and staff were very knowledgeable about the individual needs of each resident. All of the residents spoken to said they were very happy in the home and found the staff friendly and caring. The building provides residents with a choice of three sitting rooms, a dining room, and a sheltered courtyard garden with seating in the summer months. Residents are offered a range of regular social activities including gentle exercise and craft activities to encourage the residents to be as mobile as possible. Some of the more able residents enjoy a walk to the nearby shops or esplanade and in the warmer months, outings are arranged for small groups of residents with suitable transport. St Vincent House DS0000012388.V250861.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. St Vincent House DS0000012388.V250861.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 St Vincent House DS0000012388.V250861.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 Prospective residents have an assessment of their care needs before moving into the home. The home does not provide intermediate care. EVIDENCE: The deputy manager has updated the recording system for individual care assessments and care plans and since the last inspection has put into place the recommendation that all assessments are signed and dated by staff and by the residents, wherever practicable. St Vincent House DS0000012388.V250861.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 11 (The other standards were assessed at the last inspection) Medicines are administered by staff that are assessed as competent to do so. Residents and relatives are consulted on their wishes in the event of illness or death. EVIDENCE: Medication is the responsibility of the deputy manager who organises staff training in the correct policies and procedures and maintains regular checks to ensure that procedures are correctly followed. Medication is stored securely and records are maintained and up to date. The deputy manager arranges for individual medication to be regularly reviewed and also seeks advice on an annual basis from a pharmacist. This was last done in January 2005 and in discussion it was recommended that this be updated. Medication is only administered by staff that have been assessed as competent to do so by the deputy manager. Discussion of residents’ wishes regarding illness or death is usually discussed with residents or their relatives at the time of admission to the home and it is evident that staff are sensitive and respectful of residents’ wishes. St Vincent House DS0000012388.V250861.R01.S.doc Version 5.0 Page 10 St Vincent House DS0000012388.V250861.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 (the other standards were assessed at the previous inspection) Residents are encouraged and supported to have as much choice and control over their lives as possible and to the best of their ability. EVIDENCE: Residents spoken to say that staff in the home listen to them and respect their wishes. Residents have a choice of activities in the home; a visiting hairdresser, twice weekly exercise sessions with a visiting physiotherapist, a holistic therapist, and music sessions and craft activities. The inspector spent some time talking to staff in the home who said that they are encouraged to spend time with the residents, chatting or playing games and staff demonstrated a good awareness of the needs of those residents who are more frail due to varying degrees of cognitive impairment. The inspector was invited to take lunch with some of the residents and the dining room is pleasant and comfortable. Residents said the food is always very good and it was evident that there is always a choice on the menu and residents decide each day what they would like for tea/supper. Lunch was well cooked and presented and staff were attentive and sensitive to residents who St Vincent House DS0000012388.V250861.R01.S.doc Version 5.0 Page 12 needed assistance. The cook has worked in the home for a number of years and knows the residents very well. In discussion she said that she is always willing to provide whatever the residents want and is very aware of residents’ likes and dislikes. St Vincent House DS0000012388.V250861.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 and 18 It is evident that the views of the residents and their relatives are positively encouraged and taken seriously. There is a staff-training programme that includes specific training for staff on protecting vulnerable adults from abuse. EVIDENCE: One resident told the inspector that they would know how to make a complaint if they needed to. They had spoken to staff about a particular issue and this was taken seriously and action taken. The inspector received feedback from a number of relatives and it was evident that the manager positively welcomes feedback from residents and relatives and any issues are acknowledged and dealt with. One relative confirmed that they were happy with the way that their comments had been addressed. The manager holds quarterly meetings for residents and relatives to discuss issues that arise from living in the home and also has a ‘suggestion box’ for comments to be provided anonymously. The manager has introduced a satisfaction questionnaire and plans to develop this as part of the home’s quality assurance system. Staff said that they were aware of the need to protect vulnerable residents and would know what to do if they had any concerns about a resident. St Vincent House DS0000012388.V250861.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 (the other standards were assessed at the previous inspection) The premises are safe and comfortable and residents expressed their satisfaction with the general home environment. EVIDENCE: Since the last inspection, one bedroom has been refurbished with new en-suite facilities and one bedroom has been re-carpeted. Most of the bedrooms have en-suite facilities. The home is clean and tidy and well maintained and all of the bedrooms are individually decorated and furnished. Residents are able to personalise their rooms with their own furniture and possessions. Some areas of the home receive heavy use and the manager is aware of this and there is a programme of ongoing replacement and decoration. The home plans to make some additions and alterations to the way that the home is laid out and this is in the planning stage. The plans have been discussed at the last meeting of the residents and their relatives. St Vincent House DS0000012388.V250861.R01.S.doc Version 5.0 Page 15 The manager has addressed the requirement from the last inspection and has fitted some internal doors with self-closing mechanisms and plans to seek further advice from the local Fire Safety Officer. The manager also confirmed that fire safety is usually discussed at the residents’ meetings. Discussion confirmed that staff receive training in infection control procedures and there are policies and procedures for staff in place with gloves and aprons provided. Comments were received about the use of inappropriate bedding (i.e., a valence or duvet cover being used as a sheet) these comments were immediately investigated and action has been taken by the deputy manager to ensure that residents have properly made up beds, in addition, new bedding and duvet covers have been purchased. St Vincent House DS0000012388.V250861.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): 29 and 30 (the other standards were assessed at the previous inspection) Staff are trained and competent to do their jobs. The registered manager needs to review the home’s recruitment procedures to ensure that they meet the current regulatory requirements; amended to ensure that residents are protected by thorough and robust checks on all new staff. EVIDENCE: The inspector spoke to 7 members of staff over the two inspection visits including some of the ancillary staff. Everyone spoken to commented that the home is “a very nice place to work” and staff clearly felt happy and supported in their work. Care staff were confident that they had sufficient training opportunities to enable them to meet the care needs of the residents and training records show that there is an ongoing programme of NVQ training, health and safety and all aspects of safe working practice, and sessions of specialist training in areas of care related to the individual care needs of the residents. The inspector spoke to one new member of staff who confirmed that they had been supervised through an initial four-day induction period and further training was planned for them. More than 50 of the care staff have already achieved NVQ 2 or 3 in care. St Vincent House DS0000012388.V250861.R01.S.doc Version 5.0 Page 17 Staff said they were regularly supervised in their practice and they were happy that there was always someone available to talk to if they had any problems or queries. Formal 1:1 supervision is in the process of being arranged on a regular basis and in discussion the manager said he was aware that individual supervision is important and planned to arrange some training in staff supervision skills so that the supervision of some of the staff can be delegated to senior care staff. Care staff said that the care plans are always available and the care plans gave clear guidance on the care to be provided to individual residents. Inspection of some of the home’s recruitment records show that these must be reviewed and updated to meet the current regulatory requirements. All new staff must be checked against the POVA (Protection of Vulnerable Adults) list before starting work in the home. The amended Care Homes Regulations and the introduction of the POVA scheme places additional requirements on care employers in order to protect the welfare and safety of vulnerable residents. This was discussed with the registered manager and written guidance provided and the manager confirmed that recruitment procedures would be amended to meet the current regulations. St Vincent House DS0000012388.V250861.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34 and 35 (the other standards were assessed at the previous inspection) Residents’ financial interests are safeguarded by the home’s policies and procedures. The home is well managed and run in the best interests of the residents. EVIDENCE: It is the home’s policy that residents manage their own finances wherever practicable. Neither the manager nor staff take on any responsibility for financial or legal matters for residents, although small amounts of personal monies are looked after and records kept for inspection. The manager is aware that the interests of the residents need to be safeguarded and there have been occasions where the manager has asked for independent advice and protection for residents who need assistance. St Vincent House DS0000012388.V250861.R01.S.doc Version 5.0 Page 19 It is evident in discussion with the residents that the manager and staff are very well thought of and the home’s philosophy of care and the management approach is open and positive. The registered manager has completed the Registered Manager Award and is currently enrolled to achieve the NVQ level 4 in care. There are clear lines of delegation and accountability within the home and the deputy manager and senior care staff are experienced and qualified to take on some of the day-today responsibilities for running the home. Both the manager and deputy manager are open and approachable and like to be available to talk to residents or relatives wherever possible. The manager has an open and positive approach to feedback about the home as is evident in the response to comments from relatives from time to time and it is clear that the wishes and needs of the residents are always taken seriously. St Vincent House DS0000012388.V250861.R01.S.doc Version 5.0 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 X 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 3 3 X X X St Vincent House DS0000012388.V250861.R01.S.doc Version 5.0 Page 21 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. 1. Standard OP29 Regulation 19 and Schedule 4 Requirement The staff recruitment procedures must meet the requirements of the amended Care Homes Regulations and as detailed in the current guidance on criminal record and POVA checks provided by the Commission. Timescale for action 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. Refer to Standard Good Practice Recommendations St Vincent House DS0000012388.V250861.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 DS0000012388.V250861.R01.S.doc Version 5.0 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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