Inspection on 14/12/05 for The Old Vicarage

This inspection was carried out on 14th December 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

The Old Vicarage 10/01/07

The Old Vicarage 30/08/05

The Old Vicarage 08/12/04

The Old Vicarage 25/05/04

The Old Vicarage 27/01/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE The Old Vicarage Reading Road Moulsford Wallingford Oxfordshire OX10 9JB Lead Inspector Kate Harrison Unannounced Inspection 14th December 2005 10:30 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 DS0000027181.V272564.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Old Vicarage Address Reading Road Moulsford Wallingford Oxfordshire OX10 9JB 01491 651429 01491 652635 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) Friends of the Elderly Carol Bourne Care Home 50 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (10), Old age, not falling within any other category (50) The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. On admission persons should be aged 60 years and over. The total number of persons that may be accommodated at any one time must not exceed 50 of which up to 10 may be in either the DE(E) or MD(E) category 30th August 2005 Date of last inspection Brief Description of the Service: The Old Vicarage is a care home owned and managed by the charity Friends of the Elderly. The home is situated in a residential area of Moulsford and is set in attractive grounds accessible to all the residents. Accommodation is provided over two floors in single rooms with en-suite facilities. Residents have use of the communal facilities, including two day rooms and two dining rooms. The registered manager and her deputy home manage the home, with a team of registered nurses, carers, kitchen and housekeeping staff. A physiotherapist and an activities organiser are also part of the care team. The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place one morning and early afternoon during a busy pre-Christmas day. Residents were entertained during the morning by a carol concert and had enjoyed mulled wine and mince pies. The inspector visited several areas of the home, assessed individual files, records and met with several residents, staff and management, then discussed issues arising with the registered manager and her deputy. Only those key standards not assessed at the last inspection were assessed at this inspection. What the service does well: What has improved since the last inspection? What they could do better: Information from the reviews regarding the quality of the services provided should be shared with residents. The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 Page 6 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 Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The key standards were assessed at the last inspection and were not assessed at this inspection. EVIDENCE: The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10. Residents are treated with respect. EVIDENCE: Several residents told the inspector that staff treated them with respect and that staff understand their need for privacy. The inspector saw the minutes of a recent residents’ meeting showing that issues raised by residents were seriously addressed. New staff are instructed on how to treat residents with respect during the induction period. The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 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): All of these standards were assessed. The activities coordinator understands the needs of the residents and provides a varied programme of activities to meet the needs of all the residents. Visitors are welcome at any reasonable time, and residents are helped to keep control over their lives. Good food is provided in pleasant surroundings. EVIDENCE: Residents told the inspector that they were satisfied with the routines of the home. The inspector met the activities coordinator who is in the home every weekday. The activities coordinator meets each new resident and is able to plan with the individual how to meet his/her social and recreational needs. A varied programme of activities is provided, and residents choose to take part in some all or none of the activities. Large group, small group and individual sessions are available, and take part in different locations around the home. The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 Page 11 Residents said that they can have visitors at any reasonable time. Families usually manage financial affairs when the resident can do so no longer, and information about advocates is available at the home. Residents told the inspector that the food is usually good, and some said that it is very good. New providers manage the provision of food since October and the chef consults regularly with the residents for feedback about mealtime issues. The dining rooms are well planned and residents sit together in small groups at mealtimes. The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 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): None. The key standards were assessed at the last inspection and were not assessed at this inspection. EVIDENCE: The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 Page 13 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): None. The key standards were assessed at the last inspection and were not assessed at this inspection. EVIDENCE: The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 Page 14 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): 30. The home has a structured induction programme for new staff and regular staff training is provided. EVIDENCE: The deputy manager oversees the home’s induction programme for new staff, and allocates a mentor from the senior care staff to provide direction to new care staff. The inspector saw the induction record for a new member of staff, that included structured weekly meetings to discuss progress with the deputy manager. NVQ training is encouraged and four candidates are enrolled to begin the NVQ Level 2 course soon. Staff have an individual assessment of training needs annually, and regular training on appropriate topics such as continence care and tissue viability is provided. The inspector witnessed one incident of poor practice in moving and handling which was discussed with the deputy manager, who said she would address it with staff. The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 and 35. The home’s quality assurance system takes the residents views into account, but the results need to be shared with residents. Residents’ finances interests are safeguarded. EVIDENCE: An annual satisfaction questionnaire about the home’s services and facilities is provided to the residents and relatives, and a separate review of medication is carried out. The results are analysed and action plans are developed to address any issues identified as falling short of expectations. The inspector recommends that the results of the surveys be shared with residents so that residents and relatives know how the home is using the information to improve services and facilities. The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 Page 16 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 Page 17 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. 1. Refer to Standard OP33 Good Practice Recommendations The results of the resident satisfaction surveys should be fed back to residents. The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 The Old Vicarage DS0000027181.V272564.R01.S.doc Version 5.0 Page 19 - 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. 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