Inspection on 15/02/06 for St Vincents

This inspection was carried out on 15th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Vincents 12/09/05

St Vincents 02/09/04

St Vincents 01/06/04

Similar services:

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Langdale Nursing Home

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

CARE HOMES FOR OLDER PEOPLE St Vincents Binstead Road Ryde Isle Of Wight PO33 3NB Lead Inspector Lorraine Parton Unannounced Inspection 15th February 2006 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 St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 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 Vincents DS0000012538.V259221.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Vincents Address Binstead Road Ryde Isle Of Wight PO33 3NB 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) 01983 563248 01983 567714 stvincents@ssafa.org.uk SSAFA Mrs Sharon June Atter Care Home 18 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (18), of places Physical disability over 65 years of age (4) St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd September 2005 Brief Description of the Service: St Vincents is a registered care home for 18 residents over 65 years of age. The registered provider is SSAFA Forces Help. St Vincents is set in its own grounds on the main Binstead to Ryde road. It is close to all amenities. The home is spacious, well maintained and has attractive gardens and roof terrace. All 18 rooms are en-suite and decorated to a high standard. There is a large passenger lift providing access to all floors. The home has a mini-bus and a car; these are used to take residents out for activities and appointments. St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The second inspection of the inspection year took place over 6 hours and the purpose was to ensure compliance with one legal requirement brought to the homes attention at the first inspection in September 05 and to complete the inspection process for the year. The inspector audited 14 standards and reassessed 1 standard, which had been a legal requirement at the last inspection. All key standards have now been assessed throughout the year. It is recommended that the reader also reads the last inspection report completed in September 05, to ensure that a total overview of the home is obtained. By reading both reports it is evident that the home is providing an excellent service for the service users living in the home. The inspection involved a walk around the home and an audit of some of the homes documentation, which was found to be excellent. The inspector was assisted by the registered manager and the homes staff. The inspector had the opportunity to speak to several service users during the inspection, all of whom praised the homes staff and the service they receive. What the service does well: The home provides a homely and welcoming environment that enables service users to access all areas of the home and garden. All service user rooms are personalised and service users are encouraged to have their own personal possessions in their rooms. Service users spoken to advised the inspector that the homes staff provide an excellent service. The inspector witnessed staff interactions with service users and noted the obvious good relationships that were in place. Service users stated that the care that they received is excellent, which is supported by extensive care plans and clear records that are being maintained on a daily basis. All service users spoken to advised the inspector that the home provides an good choice of meals and that the quality of the meals are good. Service users stated that the home offers a variety of choices and that they are asked what meals they would like. The home offered a range of choices on the day of the inspection. St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 Page 6 Service user activities and leisure times provided by the home were found to be excellent. The home aims to promote individual choices and the promotion of independence. Staff spoken to displayed a commitment to providing a high standard of care and support to the service users living at the home. All staff displayed an understanding of service user needs. The home is committed to ensuring its staff team will be trained in areas relevant to service user needs and the service the home provides. 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 Vincents DS0000012538.V259221.R01.S.doc Version 5.1 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 Vincents DS0000012538.V259221.R01.S.doc Version 5.1 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, 6 Service users are only admitted following a in depth assessment of their needs. The home does not admit service users who require intermediate care. EVIDENCE: The inspector audited one new admission file, which included an in depth assessment of needs undertaken by the homes senior staff. The home had spoken to the service user either in their home or hospital and had also ensured that family or carers views had been documented as part of the assessment. The assessment included general information, pen pictures, sleep patterns, diet, mobility and health care needs. The home assesses service user wishes for care and these were found to be included in the care plans and routines of the home. The home does not admit service users who require intermediate care. The previous inspection in September 05 identified that standards 1,2 and 5 were met. St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 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): none EVIDENCE: None of the standards were assessed on this occasion. The previous inspection in September 05 identified that standards 7,8,9 and 10 were met. St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 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): 13,15 Service users are able to maintain contact with family and friends. Service users confirmed that the home provides excellent food of their choice. EVIDENCE: The home has a visiting policy, which affords and encourages visitors at any reasonable time. Service users confirmed that they are able to see visitors in private in their own rooms and elsewhere in the home if not in use by other service users. Service users advised the inspector that they invite their family or friends for meals when they choose. The home holds several special events in which relatives and friends are welcome. Service users spoken to stated that the home provides good food and offers a choice of menu. Menus display a well balanced and nutritious variation, which, the staff stated are based on service users requests at meetings held within the home. Service users confirmed this. Individual choices and needs in food are catered for and this includes likes, dietary needs and special requests. At the time of the inspection the home offered two choices in the main meal, and service users confirmed that the home always offers alternatives. Service users confirmed that the home always meets their specific choices. The St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 Page 11 inspector was afforded the opportunity to join the service users for a meal, which was found to be tasty and well presented. Meal times were noted to be relaxed. The home has had a recent visit from their Environmental Health officer, in which no requirements were made. The home has completed a Hazard Analysis assessment of the food risks of their business and is maintaining all relevant documentation to support food safety practices. All staff involved in food preparation are fully trained and the home has a qualified chef who was fully aware of food safety risks. All food storage and preparation areas were to a high standard. The previous inspection in September 05 identified that standards 12 and 14 were met. St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 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 the following standard(s): 16, 18 Service users are aware of how to make a complaint and to whom. The home has procedures and practices in place to protect where possible service users. EVIDENCE: All service users have a copy of the homes complaints procedure, which was found in service user bedrooms. A copy of the homes complaints procedure is on display in the homes entrance, for use by any visitors to the home. The home has devised a simple complaints form and a customer satisfaction form for use by service users should they have any concerns. Service users confirmed that they were aware of the complaints procedure and that the homes staff had gone through it with them. Service users advised the inspector that they would speak to the homes manager or staff if they had any concerns and if unresolved would speak to their families or friends. Neither the home or the Commission for Social Care Inspection have received any complaints since the last inspection. A record of a complaint would be maintained if necessary. The home has a copy of the Isle of Wight Adult Protection procedures The home has completed its own policy on the protection of vulnerable adults and a whistle blowing policy. On speaking to staff they displayed their awareness of what constitutes abuse and the appropriate action to take if necessary. All staff have received training in adult protection issues. St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 Page 13 The registered manager also discusses abuse issues with service users in service user meetings on a regular basis. St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 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 The home has adequate procedures for the control of infection. EVIDENCE: The home has reviewed its infection control policy and procedures since the last inspection. Several staff have received extensive training in the prevention of cross contamination. Any soiled laundry is managed in accordance to the homes policies and procedures and staff wear appropriate protective clothing when necessary. Chemicals are stored in appropriate storage areas. The previous inspection in September 05 identified that standards 19,20,21 and 23 were met. St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 Page 15 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): 28, 29 Service users are safe. The home has suitable recruitment procedures in place for the employment of new staff. EVIDENCE: Service users confirmed that they felt safe in the home and that the homes staff are always supportive and professional in their approach. The home has policies and procedures in place to protect vulnerable adults. On speaking and questioning staff they displayed their awareness and understanding of the homes policies on reporting any issues that may be abuse and how to maintain privacy and the dignity of the service users living at the home. Staff displayed an excellent awareness of service user needs. Two staff files were audited by the inspector and found to contain all the relevant information. This included application forms, contracts and job descriptions, interview records, references and CRB and/or POVA checks for new staff. Staff files also contained training and induction records, supervision notes and appraisals that had been carried out. The inspector had the opportunity to speak to one new member of staff who confirmed that they had received an induction into the home and had shadowed more experienced staff before working with service users alone. All St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 Page 16 staff spoken to displayed their commitment to providing a high quality of care and service for the service users. Staff confirmed that they receive training relevant to the service users needs and that the homes manager supports training requests. The previous inspection in September 05 identified that standards 27 and 30 were met. St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 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, 36, 38 Service users live in a well managed home, that is run for their benefit. Service users are consulted about the running of the home. Service users money is safeguarded by adequate financial record. Staff are supervised and appraised within their jobs. Service users and staff are protected by the homes health and safety policies and procedures EVIDENCE: St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 Page 18 Staff and service users all spoke positively about the homes manager. Service users confirmed that the manager is available in the home almost every day and that the manager seeks their views about the running of the home. The home does hold regular service user meetings, which the inspector was able to see the minutes for. Comments in the meetings were positive and any requests are acted upon. The home completes monitoring of the catering systems, which includes questionnaires about the meals provided. The home has recieved service user questionnaires, which include questions about the environment, staff and care provided by the home. The registered manager has recently attended a quality assurance/monitoring course to enable her to develop the monitoring of the quality further. The home has completed a feedback sheet that is available for all visitors to the home. The home is currently developing their systems and it was agreed that they would ensure their questionnaires would take into account the views of other stakeholders of the business. This should include visitors, healthcare professions, and staff. The home has been advised that they will need to produce a yearly report for CSCI completed after seeking the views of all stakeholders. Most of the service users except two manage their own finances. The home assists two service users with their finances, which the home advised was at their request. Records of these transactions were acceptable. Following discussions with the homes manager and finance manager it was agreed that they would seek clarification from the service users care managers that the procedures that the home is following is within the current guidelines for managing service users finances. This should be obtained in writing and retained within the service users files. The home completes staff appraisals/supervision on a regular basis. Staff confirmed that they receive supervision from the homes manager and that they find these useful to their roles and responsibilities. Staff confirmed that they have regular meetings and that these meetings enable them to speak openly. Staff confirmed that the manager keeps them informed of any changes. Staff felt that communication between the all the homes staff was very good. The home operates within a health and policy statement. The home has undertaken an extensive range of risk assessments, including service users own risks, the environment, specific staff roles, and for the equipment used within the home. The home has implemented controls for example for identified risks including radiators, hot water, chemicals, falls, moving and handling, legionnaires, the homes transport and the outside of the home. All staff have received training in health and safety, including moving and handling, infection control, food safety. St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 Page 19 The home has implemented maintenance and relevant checks for all controls in the home. The home has its own maintenance staff who work in the home on a daily basis. All certificates and servicing records were up to date. The previous inspection in September 05 identified that standards 32, 33 and 37 were met. St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 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 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 3 X 4 St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 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. 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. Refer to Standard Good Practice Recommendations St Vincents DS0000012538.V259221.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton 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 Vincents DS0000012538.V259221.R01.S.doc Version 5.1 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!