Inspection on 04/04/05 for Station Villa

This inspection was carried out on 4th April 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

Station Villa 22/09/06

Station Villa 25/10/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Station Villa 18 Station Hill Hayle Cornwall TR27 4NG Lead Inspector Stephen Baber Announced 04 April 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Station Villa Version 1.10 Page 3 SERVICE INFORMATION Name of service Station Villa Address 18 Station Hill Hayle Cornwall TR27 4NG 01736 75 5251 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) Swallowcourt Ltd Christine Barbara McLean Care Home 13 Category(ies) of Learning disability (13) registration, with number of places Station Villa Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: Station villa is registered under the care Standards Act 2000 to provide personal care and accommodation to 13 service users whose ages range from 19 to 80 years of age. Date of last inspection First inspection for the home since Swallowcourt became the registered providers in January Brief Description of the Service: Station Villa is a large detached house situated in a residential area near to the railway station in Hayle and within walking distance of the town. It has been a registered care home for 18 years and provides residential accommodation to 13 service users with a learning disability. Swallowcourt Ltd purchased the home in January 2005 and are now the registered providers with Mrs C.Maclean as the registered manager. There are currently six single bedrooms and four doubles. Some of the service users at Station Villa attend day car facilities and some attend other centres for weekday activities. Bathing and toilet facilities are on the first and second floor of the house. swallowcourt are going to invest substantially in the home to provide service users with toilet and bathroom facilities which offer privacy and meets the assessed needs of the service users. Also significant financial investment is taking place to improve the furnishings and decoration of the home. Two older service users have effectively retired and no longer attend daytime occupation facilities. They remain in the home for a more relaxed programme of activity. In discussion with he manager she explained the aim of the team was a commitment to offer an individual social activity programme which will improve the emotional well being of all service users in a comfortable and secure environment. Station Villa Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first bench mark inspection for the home. It took place over two days and was facilitated by the full co-operation and assistance of Mrs Maclean, registered manager. Swallowcourt the registered provider was registered in January 2005 and gave the Commission a firm undertaking that they would invest substantially in the home, improve staffing ratios and provide the service users with a qualitative environment where they would feel safe and secure. Three moths on and there has been a massive improvement with the service users and relatives making positive comments to me. All the staff on duty over the two days and all service users were spoken to. Two relatives were invited to speak to me. What the service does well: What has improved since the last inspection? This was the first inspection of the home since registration in January 2005 Station Villa Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Station Villa Version 1.10 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Station Villa Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 to 5.The manager has completely reviewed the record keeping and has focused on the key areas that most affect the quality of life experience by service users as well as physical standards, resources,activities and services of the home that lead to positive outcomes for and the active participation of service users. EVIDENCE: All of the service users have lived at the home for several years. The Statement of Purpose and Service User Guide contains sufficient information about and opportunities to consider, different options for meeting service user accommodation and support requirements. The staff and service users spoken to state that the information available is sufficient to guide, direct and inform them. Individual records are compiled for all service users and inspection of the records evidenced that all new admissions to the home will have full assessments. Management is working on assessment formats, staff and service users and other interested parties. The manager has the skills and knowledge and will carry out this duty and will delegate to staff. The manager said that all prospective service users and relatives entering the home will be given clear information to help them choose where they wish to live. Station Villa Version 1.10 Page 9 Prospective service users and their relatives will be encouraged to visit the home. The manager must work on introducing individual contract for all service users in a format that is easy to them. The company have devised all new individual contracts, which are going to be agreed with service users and prospective service users. The manager, and staff are satisfied that the process that they have set up will enable an individual to choose Station Villa and be assured that the home will meet their needs. Station Villa Version 1.10 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 to 10. New care plans have been implemented for all service users. The care plans cover issues of decision making, participation, risk taking and confidentiality. The aim of the care plans is for all service users to participate in care planning and achieve an independent lifestyle. EVIDENCE: Significant improvements have been made to the care plans that cover all aspects of health, personal and social care needs. The manager and staff are going to adapt them to make them more user friendly. At present the manager and staff are getting to know the service users. Service users told the inspector that they are involved and participate in care planning. Relatives spoken to were complimentary about the major improvements that have been made. As evidenced from the records staff support service users to take risks as part of an independent lifestyle. The manager asked the permission of service users to discuss specific issues with the service users and me were actively encouraged to be part of the discussion. Station Villa Version 1.10 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11 to 17 The manager and staff have a good understanding of how to improve the lifestyle of all service users which covers elements of service and support in home that enables the service users to maintain appropriate and fulfilling lifestyles in and outside the the home. EVIDENCE: Station Villa Version 1.10 Page 12 The manager evidenced how the home sets out to develop social, communication and independent living skills. Staff work with service users with their personal care skills, and there was attention to the communication needs of service users. The company provide free transport for social activities, for example for a drink in the local public house or clubs. The development of independence and social skills is included in care plans and progress recorded. There are a lot of group activities at the home, and staffing ratios have been increased since the providers have taken over the home. It was encouraging to the inspector to see all the service users happy and relaxed. The relatives that I spoke with said they were impressed with the manager and staff and they have been encouraged to visit the home to have a meal or cup of tea with the service users. All service users apart from the two retired gentlemen have five-day programmes of activities each week. These are recorded on the care plans. The day activities are split between the nursery and work placement and other centres such as the John Daniel Centre. There was evidence from records and discussion that service users are active and involved in the community. All the service users are consulted on where they wish to go. One service user has a 1:1 for attendance for horse riding which he much enjoys. Service users use local shops and services for shopping and hairdressing. Some service users’ rooms also give evidence of their interests and activities. The manager is keen to promote the involvement of the family and the relatives spoken to on the day of the inspection were praiseworthy about their involvement and the positive things going on the home. Other service users have family at a greater distance and are supported to remain in contact. Some service users have very limited family contacts or none at all. The manager has reviewed this area of her responsibility and greatly improved on it. Menu planning forms part of the social care programme with everyone being involved at all stages, with individual choice and preference catered for. The manager and staff have worked hard to improve the ambience of the dining room with table clothes and napkins and good quality cutlery and crockery. I also noted the homely touches of fruit bowls which were full of fresh fruit. Station Villa Version 1.10 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 to 21. Major improvements have taken place on improving the health care needs of service users. the current pratice in the home ensures that individual needs are fully met. EVIDENCE: Each service user has their own plan of care which covers personal and social care needs interventions and goals. The plans identify the flexibility the manager and staff have built into the daily routine. Which covers what to wear, guidance and support is provided in personal hygiene and self-care, guidance and support in some areas of mobility. There are arrangements for dentistry and optician appointments. The care plans and daily records provided enabled the staff to deliver the service. The inspector observed the staff about their business and noted that they were kind and helpful to the service users. The service users were very happy and relaxed around them. Reviews take place at regular intervals or as the needs of service users change. Station Villa Version 1.10 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 to 23 Service users can feel assured that their compliants will be listened to and the manager and staff have robust procedures for responding to any allegation or suspicion of abuse or neglect. EVIDENCE: The company are pro active in the area of complaints and adult protection. Training for all staff commences from induction training. A staff member explained what they must do if an allegation of abuse takes place. Some service users knew what they would do if they had any worries. Station Villa Version 1.10 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 to 30 The company are reviewing the facilities in the home and plans have been submitted to improve the rooms, bathing and toilet facities. A complete refurbishment and redecoartion programme was taking place at the time of the inspection. EVIDENCE: The company are investing substantially in the home and the results will have definite benefits for service users and staff. The inspector will monitor the progress over the coming months and suffice to say the service users said that they were very happy with what was going on to improve their quality of life for them. Station Villa Version 1.10 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 to 36 The company have recruited staff in sufficient numbers, qualities, qualifications,training and support required to meet the stated purpose of the home and the assessed needs of the service users who live at Station Villa. EVIDENCE: The staffing ratios have been increased since the company became registered. Waking night staff has been employed. There is detailed evidence of a carefully managed staff team with supervision, appraisal and regular staff meetings is feature of the home. Staff receive ongoing training from the company, which commences from induction. All training is recorded in individual staff portfolios. Staff told me that they were appreciative of the hands on style of the manager and the support, supervision and guidance that she offers. The inspector observed the manager and it was obvious that she leads by example and the pivotal role she plays, her experience is obviously a very substantial and fundamental factor when considering the input she gives. The service users are supported and protected by the homes recruitment policies and procedures. staff explained what they had to go through to be successful with their application. The service users said the staff were very helpful and nice. They always listen to me and involve me. Particular qualities Station Villa Version 1.10 Page 17 and favourites were being pushed forward to me when I was talking with the residents. Job descriptions are being implemented. All staff should be registered within three weeks of employment to undertake the LDAF training. Station Villa Version 1.10 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 to 43 There is leadership, guidance and direction to staff from the manager to ensure that a quality experience is given to all service users. this results in practices that promote and safeguard the health, safety and welfare of the service users living at the home. Effective quality assurance and quality monitoring systems are going to be put in place This ensures that service users can be confident that their views underpin all self monitoring, review and evelopment by the home. EVIDENCE: The service users were very positive about the manager and said that she is helpful, caring and kind and will do always listen to them to sought things out. I talked with the relatives that came in to talk with me. The manager and staff made them welcome. They said they were very impressed with the major improvements and the relaxed atmosphere in the home. The service users rights are safeguarded by the homes policies and procedures. Station Villa Version 1.10 Page 19 As evidenced from the records the manager is qualified experienced and competent to run the home and meet its stated aims and objectives and statement and purpose. SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 1 2 3 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 2 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 1 1 1 3 1 3 Standard No Standard No 31 32 Score 2 2 Page 20 Station Villa Version 1.10 11 12 13 14 15 16 17 3 3 3 3 3 3 4 33 34 35 36 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 3 3 3 Station Villa Version 1.10 Page 21 First Inspection. 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 3 Regulation 14 (1) Requirement Assessments formats for all new service users must be compiled Contracts must be issued to all service users The privacy of service users who share rooms must be respected.Please draw up a action plan detailing how the privacy of service users is going to be repected. Toilets and bathrooms suitable for service usersd specialist and cultural needs must be located near to service users rooms, accessible toilets are also situated to all communal areas occupied and used by service users. An action plan must be drawn up to address additional adaptations and facilities for the morse dependent service users. Timescale for action 30th October 2005 30th October 2005 30th October 2005 2. 3. 5 18 4 and 29 23(1)(a) 4. 27 23(2)(J) 30th October 2005 5. 29 23(1)(a)( 2)(n) 30th October 2005 Station Villa Version 1.10 Page 22 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. 3. 4. Refer to Standard 6 31 32 43 Good Practice Recommendations Care plans should be adapted to meet the needs of the service category Job descriptions should be compiled for care staff Staff should be registered for LDAF training within the first three weeks of employment The detergent should be boxed in to comply with COSHH Station Villa Version 1.10 Page 23 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Station Villa Version 1.10 Page 24 - 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!