Inspection on 22/09/05 for St Vincents

This inspection was carried out on 22nd September 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.

Other inspections for this house

St Vincents 21/02/07

St Vincents 14/02/06

St Vincents 25/01/05

St Vincents 20/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE St Vincents 33/35 Leicester Street Southport Merseyside PR9 0EX Lead Inspector Claire Lee Unannounced 22 September 2005 nd 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 Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Vincents Address 33/35 Leicester Street Southport Merseyside PR9 0EX 01704 546386 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) The Daughters of Charity of St Vincent De Paul Ms Rose Lowry Care Home 13 Category(ies) of (OP) Old age 13 registration, with number of places St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 13 (OP) Old age. 2. The service should employ a suitably qualified and experienced manager who is registered with the CSCI Date of last inspection 25th September 2005 Brief Description of the Service: St Vincents is a care home providing personal care and support for up to 13 retired Sisters from the Community of St Vincent de Paul and Sisters from other religious communities. The home is situated in Southport town centre overlooking the marine lake and with easy access to public transport. The home has 4 floors served by a passenger lift and stannah chairlifts on the back stairs. The Sisters have single accommodation and a number of rooms have an ensuite facility. Bathrooms are adapted to assist those who are less able and the home also has a Jacuzzi room. Recreational areas comprise of 2 lounges and a dining room. All areas are very clean and well maintained. The Registered Providers are The Daughters of Charity of St Vincent De Paul and a new registered manager has been appointed by the Commission, Ms Rose Lowry. St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over six and half hours. It was an unannounced visit and conducted as part of the regulatory requirement for care homes to be inspected at least twice a year. A visit took place in June 2005 to register a bedroom thus increasing the number of registered beds to 13. There have been no other visits conducted since the last inspection. A tour of the building took place and a selection of care, staff and nursing home records were also viewed. The manager, administration, staff member and 6 of the 13 residents were spoken with and their views obtained of the home. Satisfaction cards were also given to the Sisters and relatives to complete at their leisure. Comments received have been very complimentary regarding the service and staff. What the service does well: St Vincents has a very relaxed, friendly atmosphere and it was evident that the Sisters enjoying living there. The home is beautifully decorated and the lounges and dining room have comfortable furniture. The home employs skilled and experienced staff and the Sisters reported that they were very pleased with all aspects of their care. The staff have a good training programme which covers courses in safe working practice areas and studies relevant to the care of the older person. The Sisters spoke highly of the care and support they receive and also stated that staff were respectful of their wishes. The standard of meals in the home was excellent and satisfaction surveys viewed confirmed this. The Sisters reported that the cook always prepared a good variety of foods. Care files include a good record of the Sisters’ individual nursing and social needs and all care documentation is reviewed regularly to ensure the information is accurate. The Sisters are encouraged to take part in this process. St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 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 Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 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 Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 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 Assessments are carried out to ensure the home can meet the Sisters’ care needs in full. EVIDENCE: Individual records are kept for each Sister and assessment information is collated prior to arriving at the home. Many of the Sisters are known to the Community and have visited prior to taking up residency. An assessment was seen for a Sister who had recently moved to St Vincents from another home within the Community, the Sister confirmed that she was settling in well and was very happy. Holistic (treating the whole person) assessments are completed once the Sisters have arrived and further care needs are then identified. St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 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 and 10 The Sisters’ health, personal and social care needs are addressed in care plans and the health care needs are met effectively which ensures a good overall standard of care in the home. Medicine charts viewed evidenced staff signatures following administration. Care was provided to the Sisters in a sensitive and respectful manner thus maintaining their privacy and dignity. EVIDENCE: The Sisters have an individual plan of care and care files viewed were organised and the information easy to read. Care plans seen were detailed giving clear instructions to staff regarding care delivery. The Sisters are involved with the care plan process and the reviews that are conducted regularly. Key areas identified included, health and well being, independence, mobility, hobbies, personal care and family contact. General risk assessments had been completed, for example, any restrictions to mobility and nutritional needs were being monitored. St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 Page 10 The care staff are appointed the role as key worker (taking on the overall responsibility for a number of Sisters) and staff interviewed were enthusiastic and knowledgeable regarding this role. The care staff are fully involved with implementing the care and reviewing existing documentation. A Sister reported, “the girls are very good and so helpful”. The Sisters spoke enthusiastically regarding the caring and polite manner of the staff and this was observed through out the time spent at the home. Staff were seen serving lunch and assisting the Sisters in a professional manner. A Sister reported, “the staff are just marvellous.” Emphasis is placed on respecting the Sisters’ faith and religious needs and this plays a very important part of the care provided at the home. This was discussed with a staff member who reinforced this view. St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 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 and 15 Daily life, activities and routine were based around what the Sisters would like to do and the home had a friendly relaxed atmosphere. Lunchtime was a social occasion where the Sisters got together and enjoyed a nutritious well-balanced meal. EVIDENCE: The Sisters take part in a wide range of social activities either ‘in house’ or locally. A number of Sisters are very independent and maintain close contact with other Sisters from different homes within the Community. Many visit other homes for a holiday or go on retreat. A Sister discussed her interest in computer and the studies she is undertaking a Southport college. The home arranges trips out to local beauty spots and an excursion is planned to see Blackpool lights next month. A Sister confirmed that the social side of the home was excellent. The Sisters are involved with parish activities and a service of worship and prayer is conducted each day. Staff were seen spending time chatting with the Sisters and also assisting with personal care according to individual need. A number of Sisters reported that they enjoyed the level of independence offered by staff and that they could be as active as they wished. St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 Page 12 Meals are served in the dining room and the main meal of the day is prepared at lunch time. The menu states that alternatives are available at each meal. Comments from the Sisters regarding the food included, “excellent”, “good choice”, wonderful cooking” “lavish menu” and “served beautifully by the staff.” The choice of food available was of an excellent standard and satisfaction questionnaires completed by the Sisters endorse this. Home baking is provided and the Sisters have tea and coffee making facilities in the small lounge on the top floor of the home. Lunch was very pleasant and silver service provided by the staff. St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 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 standard(s) 16 and 18 The home has a clear and accessible complaint procedure should a complaint arise. The Sisters were confident that their concerns would be listened to and acted upon. Safeguards were in place to protect the Sisters from abuse. EVIDENCE: The home has a complaint procedure and this was on display. There have been no complaints and any ‘niggles’ the Sisters may have are brought to the manager’s attention through daily contact and weekly meetings. A Sister reported “what would there be to complaint about, the home is excellent”. The concept of abuse is discussed during the induction of all new staff and formal training is also arranged. The home has a policy and procedure on abuse, a whistle blowing document and Sefton’s local guide. St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 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 standard(s) 19,21 and 26 St Vincents provides very comfortable, clean accommodation and all areas of the home are subject to an ongoing programme of redecoration. EVIDENCE: St Vincents is a large house comprising of 4 floors. All areas are exceptionally clean and a programme of decoration has recently been completed. The home’s colour schemes are very pleasant and the 2 lounges, dining room and bedrooms have comfortable furniture and fittings. There is a computer in the lounge for the sisters to use however many have this equipment in their own rooms. A Sister confirmed that she was very happy with her bedroom and the excellent standard of maintenance in all areas. There is a patio area at the rear and car parking space to the front. Bathrooms viewed were very clean and the temperature of the hot water to the baths was being recorded to ensure it was delivered to a safe temperature. The home has a Jacuzzi room which the Sisters particularly enjoy. The laundry is taken care of by the staff and gloves and aprons are used where appropriate. St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 Page 15 St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 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 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) 27, 29 and 30 Satisfactory numbers of skilled and experienced staff were on duty to meet the needs of the Sisters. A training programme is provided for staff so that they are able to care for the Sisters in a safe manner. The procedures for the recruitment of staff did not always include necessary Protection of Vulnerable Adult checks and evidence of two written references prior to employment on all staff. This is needed to ensure protection to people living in the home. EVIDENCE: At the time of the inspection thirteen Sisters were resident and the manager was on duty with two care staff. There are always three members of staff available during the day and at night one to two care staff and one who ‘sleeps in’. The staffing rota was available and confirmed that these figures are maintained. A cook, housekeeper and the home’s administrator were also present. The manager is in the process of establishing a bank staff for the home as agency staff are not used. Since the last inspection three new staff have been employed and all have received or are going through an induction with the manager or a senior carer. The induction material viewed was of a good standard and is given over a six week period. All staff receive training to ensure they have the necessary skills and experience to care for the Sisters. Courses in safe working practice include St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 Page 17 manual handling, first aid, infection control, food hygiene and health and safety. The training programme for the home is very good and staff are encouraged to attend other courses of interest, for example, diabetes and care of the dying. Staff interviewed felt that there was never a problem with training and that it was arranged regularly. Staff files viewed evidenced the dates and certificates of attendance. Two staff files demonstrated the necessary recruitment checks prior to employment however one staff member had commenced her employment prior to receiving clearance from the Protection of Vulnerable Adults [POVA] register, which is a requirement prior to employment in order to protect residents from known abusers. A second reference was also required for this member of staff. This needs to be addressed in all cases of future staff employment. St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 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 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) 31, 32, 33, and 38 The home has a new manager in post whose management approach and leaderships skills were valued by the Sister and staff. The Sisters are asked for their views of the home to ensure they receive a quality service in comfortable surroundings. Safety certificates for fire equipment were in date. Staff had received fire prevention instruction and therefore aware of fire safety issues. EVIDENCE: Ms Lowry was appointed as the registered manager by the Commission earlier this year and is in the process of undertaking NVQ Level 4 in Management. Ms Lowry has also completed courses in safe working practice areas with the staff. Comments regarding her management of the home included, “very good support and “doing a really good job”. Ms Lowry is supported in her role by St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 Page 19 senior management and it was evident good communication that exists between all parties. The Sisters hold regular meetings and are also provided with satisfaction questionnaires regarding the home and its facilities. Comments seen were very complimentary regarding all aspects with particular reference to the excellent food and kindness of the staff. Safety checks of the fire alarms are undertaken each week and the home’s equipment subject to an ongoing service contract. Records viewed were in date. Staff receive regular fire prevention training. St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 4 COMPLAINTS AND PROTECTION 4 x x x x x x 4 STAFFING Standard No Score 27 3 28 3 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 x x x x x x 3 St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 Page 21 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 29 Regulation 19 Requirement All staff must receive a POVA first check and clearence prior to commencing employment in the home. Two written references must be obtained for all staff prior to commencing employment in the home. Timescale for action Ongoing 2. 29 19 Ongoing RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations St Vincents 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 Page 22 Commission for Social Care Inspection Burlington House, South Wing 2nd Floor, Crosby Road Road Waterloo Liverpool L22 0LG 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 20050922 St Vincents X100015 UN Stage 4 S5292 V230654 F53.doc Version 1.30 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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