Inspection on 10/07/07 for The Old Vicarage

This inspection was carried out on 10th July 2007.

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

The Old Vicarage 13/06/06

The Old Vicarage 30/01/06

The Old Vicarage 01/12/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE The Old Vicarage Weekly Village Kettering Northants NN16 9UP Lead Inspector Sarah Jenkins Unannounced Inspection 10th July 2007 07:30 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 The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 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. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Vicarage Address Weekly Village Kettering Northants NN16 9UP 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) 01536 484378 01536 485168 admin@theoldvic.co.uk Royal Bay Care Homes Helen Angela Elmore Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38) of places The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No one falling within the category of OP may be admitted into the home for nursing care where there are 38 persons in the category of OP already accommodated within the home with nursing needs. No one falling within the category of OP may be admitted into the home for personal care where there are 38 service users accommodated in the home No person uder the age of 65 years of age may be admitted to the home. No service user requiring nursing care may be accommodated in the rooms 2a, 7 and 10 on the first floor 13th June 2006 2. 3. 4. Date of last inspection Brief Description of the Service: The Old Vicarage is a care home providing personal care and accommodation and in some cases nursing care for 38 older people over the age of 65 years. The home is owned by Royal Bay Care Homes. The Old Vicarage care home is situated in the village of Weekley, close to the town of Kettering in Northamptonshire. The building is a listed building that has been adapted to meet the needs of the nursing and residential clients living there. The home has both single and shared bedroom accommodation with all rooms having en-suite facilities. There is a variety of communal rooms for residents’ use, and a well tended, pleasant garden and patio area for use when the weather permits. The following fees were provided by the registered manager as being current at the time of submission of the inspection: Residential £420:00 to £500 per week. Nursing £550:00 to £750 per week. Chiropody and hairdressing services can be arranged and are charged separately. Other costs would include newspapers, clothing, toiletries, and purchases from the shop. Further information about the home is available at the home in the form of the Statement of Purpose, the Service Users Guide, and the most recent published inspection report. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting three service users and tracking the care they receive through meeting with the service users, a review of their records, discussions with the care staff and observation of care practices. The Inspector visited during the morning to observe practices by staff and to meet with service users. The visit undertaken lasted approximately 6 hours and included the lunchtime period. Some service users are frail and thereby communication for some is difficult. Establishing Service Users choices and informed decisions is dependant to some extent upon the consistency of staff, service users relationships with staff, and the quality of communication. Feedback obtained from Service Users in this report was in part through observations of their relationships with staff, and also through interpretations of their general levels of happiness with their routines. The pre-inspection questionnaire filled in by the Registered Manager prior to the inspection informed the inspection. Feedback forms had been received by the inspector at the time of the inspection. What the service does well: Staff at the home are warm, responsive, and caring, and the quality of their training and understanding of the needs of the client group for which they care, leads to the good outcomes for service users which were observed at the time of the inspection. The home is well managed by a caring and committed management team. The Registered Manager is well qualified for her role. The Registered Manager continues to actively review and develop the service and notes through discussion with staff service users and relatives how service users lives can be enhanced. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 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 The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3, Standard 6 is not applicable, as the home does not provide intermediate care. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users needs are assessed and they can be confident that the home will be able to look after them properly once they are admitted to the home. EVIDENCE: An assessment of service users needs are undertaken prior to their admission and some effort is made to ensure that these can be met. Service users are offered flexible arrangements for admission including preadmission visits to the home or from staff to service users own homes. Information about the home is made available and a trial period is offered. Discussions with staff members evidenced that they were fully aware of the detail of new service users needs. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 9 The Inspector noted on one recently admitted service users records there had been a failure to record all the relevant information. There was a lack of evidence of proper assessment of the service users nutritional needs, manual handling and pressure area requirements. Advise was also given that additional information from service users General Practitioners would be helpful to enhance a smooth transition where service users and relatives may not able to give a full picture. The initial care plan is drawn up from the information available. The Registered Manager was advised that although it was evident that staff took a genuine interest in new service users and got to know them, some information, for example about their previous interests and social lives had not been transferred to the care plan and some information gathered by staff in the early weeks of the new service users stay were not recorded in sufficient detail to ensure appropriate use of the trial period and development of the care plan. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are alert and responsive to service users care and health needs and these are generally well met. EVIDENCE: Discussions with service users demonstrated a general satisfaction with the assistance they received with their personal care and health needs. Records showed details on appropriate input from healthcare professionals as needed. Observations and discussions with residents’ during the inspection confirmed that staff speak to and treat residents’ with warmth and respect. Their privacy and dignity is respected in that personal care is provided in the privacy of people’s rooms. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 11 Some shortfalls in records on some aspects of personal care were discussed with the Registered Manager. For example a service user who was known to be eating poorly had not had their weight recorded. A sample check of the medication system confirmed that there is a clear system in place for the management and recording of medication administered. The majority of medication is supplied in a blister pack format, which aids stock control and auditing. No discrepancies were identified during a sample check and residents’ prescribed medication was available and signed as administered in accordance with the prescription. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. Visitors are encouraged and welcomed into the home and residents’ are very happy with the quality of food provided. Routines are flexible and allow residents’ choices in their daily lives. EVIDENCE: An activity organiser, who arranges interesting and stimulating activities including occasional pottery and cookery sessions, is employed in the home for approximately 6 hours per week, and other entertainers are periodically employed sessionaly. During the morning of the inspection service users were seen to be enjoying their daily newspapers, watching television, and enjoying some conversation with staff. Residents’ religious needs are checked during the assessment process and a staff member advised that arrangements are made for those residents’ who wish to receive communion in the home. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 13 One service user confirmed that staff would also assist them to the garden if they wished, although none were seen to be enabled to spend time outside at the time of the inspection. All service users’ spoken to were very happy with the meals provided. Observations at breakfast time identified that the cook was aware of individual preferences, which included, some service users’ having a full cooked breakfast. The lunchtime meal was seen to be was freshly cooked, well presented, appetizing and nutritious. The inspector was able to meet with the Environmental Health Officer at the home who was also conducting an unannounced visit of the kitchens and food provision, and gave a very positive report to the Inspector. Some service users appeared to have insufficient stimulation during the morning period due to the pressure on staff in meeting service users physical needs, records showed a lack of input in this respect for some service users. The Inspector was unable to fully cross check whether there is sufficient activity generally for less able service users at the home as recording in the daily records was clearly not doing full justice to the quality of care evident in other areas. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. The home has procedures for dealing with concerns and complaints which service users and relatives are aware of and staff are aware of their responsibilities for protecting the people in their care. EVIDENCE: The Commission for Social Care Inspection have received no complaints about the service since the last inspection. The registered manager has advised that the home has received no complaints since the last inspection. A copy of the complaints procedure is displayed in the hall. Residents’ spoken to said that they felt able to raise any concerns with staff and were confident that this would be dealt with. Staff spoken to had no concerns about how service users’ were being treated and were aware of their responsibilities to act to protect residents’. The Inspector observed the good communication and the responsive attitude from the staff in their communications with service users, and judges that this is likely to pre-empt complaints being made. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. The home was clean, comfortable and in good decorative order providing a pleasant environment for service users’. The home has a very beautiful garden area, easy access to which could be enhanced. EVIDENCE: A limited tour of the premises was conducted; the residents bedrooms viewed were pleasantly decorated, furnished to a good standard and contained small personal possessions, such as photographs, pictures and ornaments. There are bedrooms on the ground and first floor, some single and some shared with all having en-suite toilet facilities. A lift provides access to the first floor. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 16 There are two lounges, two dining rooms and one lounge/dining area on the ground floor. These areas were clean, pleasant and comfortably furnished. The home is set within gardens, which were attractive and well maintained. The more able service users at the home confirmed that they are able to access the gardens as and when they wish and staff provide assistance where necessary. All areas of the home were clean and free from offensive odours. A service user told the inspector that the cleaner is always very through when cleaning her room. Staff were observed to use protective gloves and aprons, and instructions for correct hand washing to reduce the risk of transferring infection were posted next to staff hand washing facilities. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Staff training, recruitment procedures and staffing levels provide good care and protection for service users. EVIDENCE: Staff on duty at the time of the inspection presented as being caring and professional in their approach to residents’. There was evidence of good teamwork and effective responses to service users needs. Discussion with staff and service users during the inspection identified that there are usually enough staff to meet the needs of service users. Service users complimented the staff on their kindness. Records and discussion with recently recruited staff, confirmed that new staff are appropriately employed through a professional recruitment process, are properly supported during their induction, and receive induction training based on the national training organisation specifications. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 18 The Registered Manager confirmed that a training matrix is being developed to enable a quick review of staff training and update needs. No shortfalls in staff training were identified at the time of the inspection The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33, 35,38 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. The management and organisation of the home is good promoting the health, safety and welfare of the people living in the home. EVIDENCE: The Registered Manager has many years of appropriate experience and training for her post and has completed the Registered Managers Award since the last inspection. She meets with her staff and service users on a regular basis and has a close understanding of service users care needs. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 20 Regular Quality Audit processes are undertaken and the Registered Manager remains continually alert to the potential for improvement. She was most receptive to comments and advice given throughout the inspection and clearly has service users best interests at heart. Service users are involved in decision making as far as is practicable. The home does not hold finances on behalf of service users but arranges invoicing and receipts for any items purchased. Details of service users financial arrangements, such as whether power of attorney has been set up, are established prior to their admission. The home has been proactive in taking on board the implications of The Mental Capacity Act 2005 and staff are receiving training. Health and Safety issues around the home appear to be well managed, although records were not fully reviewed at this inspection. The Registered Manager demonstrated that she had a proper overview and analysis of accidents that had occurred. Service users records do not always evidence the quality of care that service users and staff describe and this is an area of development for the home. In some cases the failure of staff to record detail has led to inadequate information on care plans although no shortfalls were identified in staff knowledge of service users care needs. However, there is a risk that long term staff may take for granted the information that has not been passed on to new staff and this could lead to compromised care delivery. The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 21 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 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 22 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 OP7 OP3 Regulation 14,15 Requirement Service users records including assessment details, care plans and daily log entries, should be adequately detailed and updated to ensure the protection of service users and to enable all staff to be properly aware of the full spectrum of service users care needs. Timescale for action 14/09/07 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 The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 The Old Vicarage DS0000062531.V340974.R01.S.doc Version 5.2 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. 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