Inspection on 06/12/05 for The Old Vicarage

This inspection was carried out on 6th 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 03/07/08

The Old Vicarage 17/04/07

The Old Vicarage 12/05/05

The Old Vicarage 03/11/04

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 The Old Vicarage The Old Vicarage Ivy Bank Road Sharples Bolton BL1 7EQ Lead Inspector Rukhsana Yates Unannounced Inspection 6th December 2005 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Old Vicarage DS0000061207.V270941.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 DS0000061207.V270941.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Old Vicarage Address The Old Vicarage Ivy Bank Road Sharples Bolton BL1 7EQ 01204 594736 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) Macdonald Care Limited Mrs S G Macdonald Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places The Old Vicarage DS0000061207.V270941.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home is registered for a maximum of 19 service-users to include: Up to 19 service-users in the category of OP (Old Age not falling into any other category). That the service should at all times employ a suitably qualified and experienced Manager who is registered with CSCI. 12th May 2005 2. Date of last inspection Brief Description of the Service: The Old Vicarage is a privately owned care home offering residential care and support for up to 19 older people. One of the owners is responsible for the dayto-day management of the home. It is situated about two miles from the centre of Bolton, and is close to bus routes, shops, pubs and other amenities. There are two floors, with a lift to the first floor. The home has 13 single rooms and 3 shared rooms. 11 rooms have en-suite facilities. The grounds include a car park and large, well-maintained gardens. The Old Vicarage DS0000061207.V270941.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and carried out over 5 hours. Most of the day involved talking to residents, staff members, the manager and visitors, and watching the way in which staff talked with residents and helped them with personal care. The remaining time was spent looking around the home and some bedrooms, and reading care plans, and other paperwork relating to the care and safety of residents. The key standards not covered at this inspection were assessed at the last inspection in May 2005. What the service does well: What has improved since the last inspection? The way residents’ notes and reviews are written has improved since the last inspection. They make it easier to see any progress or change relating to each resident’s care. Also, the home has sent questionnaires to relatives and other people to get their views about the home. The Old Vicarage DS0000061207.V270941.R01.S.doc Version 5.0 Page 6 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 Old Vicarage DS0000061207.V270941.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 DS0000061207.V270941.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): 3 Each person considering moving to The Old Vicarage has their needs assessed, and is given information about the home, before admission. The admission process ensures that new residents know what to expect of the service from the outset. EVIDENCE: The admission process is described in the home’s “Statement of Purpose”. It states that an assessment is carried out before admission, and then a full care plan drawn up in consultation with the resident or their representative. The file of a resident new to the home showed that this process is followed. The file included initial assessment information and a more detailed care plan covering a wide range of information that care staff need to know. Residents or their relatives have signed to confirm their agreement to the care plan. Two of the residents consulted said that they had made a good choice in coming to this home. They spoke highly of the manager’s and carers’ knowledge and understanding of their needs. Staff members demonstrated a good understanding of the individual needs, personalities and preferences of people admitted to the home. The Old Vicarage DS0000061207.V270941.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): 7, 8 and 10 Each resident’s personal, health, social care needs and risk assessments are well reflected in their care plan. Changes in need and actions for care staff are reflected in monthly reviews, ensuring that residents’ well-being is effectively monitored. Residents feel they are treated with respect at all times. EVIDENCE: Care plans cover a wide range of relevant topics and include useful information about residents. They describe personal care and health needs, individual dietary preferences, daily routines, social and religious needs. Interests and preferences are well detailed. For example, the plan of a newly admitted resident included the condiments she preferred with her meals, and another detailed specific programmes and music the person liked. Risk assessments cover moving and handling, skin care and other areas as necessary. Regular weighing takes place. The content of daily reports has improved since the last inspection, and the new format used for monthly reviews is simple and effective. It shows clearly any progress or change relating to each area of the person’s care plan, and the actions to be carried out by staff to address the areas identified. A daily communication sheet has also been introduced. This is completed by the senior on duty, and ensures that all changes are communicated easily to the staff team. The Old Vicarage DS0000061207.V270941.R01.S.doc Version 5.0 Page 10 All of the residents consulted spoke highly of the care and said that the home looks after their health. A visiting District Nurse said that the staff and manager have a good knowledge and understanding of residents’ needs. She felt that the home provides a good quality of care, and had confidence in the ability of staff to monitor residents’ general health and skin integrity, thereby ensuring that problems are promptly referred and dealt with. Records showed that residents are enabled to access the range of health services they need. Residents described the staff as “really good” and “very helpful and always nice to you”. They felt that they are treated with respect and that staff are polite and patient. Personal care was seen to be provided sensitively and discreetly by staff. The district nurse said that nursing treatment takes place in the privacy of residents’ own rooms. The Old Vicarage DS0000061207.V270941.R01.S.doc Version 5.0 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 the following standard(s): 13 and 14 Residents feel happy that they are supported to maintain contact with their family, friends and local community, and to exercise choice in their daily lives. Residents are asked about, and enjoy, a range of trips and activities. EVIDENCE: Residents said they have a choice in their daily routines, including what time they get up and go to bed, where to spend their time, which activities to take part in and what to have at mealtimes. The home has open visiting arrangements and uses a range of means to maintain community participation. These include church visitors and services, small scale shopping trips, visits to local garden centres and other trips as requested by residents themselves. Residents are enthusiastically supported in taking local walks and joining in with organised day trips and holidays. Residents consulted said they don’t get bored and that they are encouraged to keep active. A busy diary of events has been compiled, in consultation with residents, for December. This includes Christmas lunch at a restaurant, a Christmas party at the home, visits by carol singers, a brass band, a church service at St Paul’s, and a cocktail party just before the New Year. The Old Vicarage DS0000061207.V270941.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): 18 Written guidelines and staff training help to ensure the protection of residents. EVIDENCE: The home has the local authority guidelines about the protection of vulnerable adults. Staff have a good understanding of the home’s adult protection and whistle-blowing procedures. Some members of staff have attended a training course covering these topics. The remainder have been nominated to attend forthcoming courses. The process for recruiting staff includes the required background checks to ensure residents’ welfare is protected. The Old Vicarage DS0000061207.V270941.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): 19 and 26 The Old Vicarage provides a clean, comfortable, well-maintained environment for residents. The home and grounds are pleasant and safe, EVIDENCE: Residents said they are very satisfied with the high standard of cleanliness and décor throughout the home. Bedrooms and communal rooms are homely and comfortable, with redecoration taking place when necessary. The home has a large lounge, an attractive dining room and conservatory. There are large, well maintained garden areas accessible to, and enjoyed by residents. The home has a passenger lift and a range of aids and adaptations to help residents to maintain their independence. These include grab rails, assisted baths and showers, pressure relieving equipment, and a new stand aid has recently been purchased. Regular fire checks are carried out throughout the home to make sure the environment is safe. The Old Vicarage DS0000061207.V270941.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): 27 and 28 Residents’ needs are effectively met by the numbers of staff. The staff group has the knowledge, skills, training and management support it needs to meet needs. EVIDENCE: The duty rota, and observations during the inspection showed that there are sufficient numbers of staff on duty to effectively meet residents’ needs. The home has a staff team that works well together and staff turnover is very low. During the day, staffing comprises of the manager, a senior and two carers. Two waking care assistants, with on-call support, provide nigh-time cover. The home also employs an administrator for 5 days a week, a cook for 7 days and domestic for 6 days. The Old Vicarage has good staff training arrangements in place. At least 50 of care staff have achieved the NVQ Level 2 or above and the remainder have commenced the award. The manager has recently carried out a training needs analysis for the staff and is in the process of arranging for them to attend courses in infection control and dementia care, amongst others. Staff consulted feel they are valued and supported, enabling them to feel motivated and skilled in providing a good standard of care. One described the manager’s approach as “on the ball” and said there is very good communication within the staff team. The Old Vicarage DS0000061207.V270941.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): 31, 33, 35 and 38 Effective management arrangements ensure that the home runs smoothly and the needs of residents come first. The manager seeks and records the views of residents and visitors, and is producing a summary that will show residents and others how their views are being used to improve the service. The health and safety of residents and staff are promoted through safety checks and staff training. EVIDENCE: The manager and joint proprietor of The Old Vicarage has several years of experience of management and working in the field of caring for older people. She is a qualified nurse, has achieved the Registered Manager’s Award, and actively continues to keep abreast of current issues. The home is well organised in terms of administration, care delivery and staff support and training. Comments from residents and visitors confirm that the manager is The Old Vicarage DS0000061207.V270941.R01.S.doc Version 5.0 Page 16 able to communicate a clear sense of direction and leadership, and that her approach to running the home is open and transparent. Staff find the manager approachable and feel well supported in their work and in developing themselves professionally. The home has made good progress in developing a quality assurance system. Questionnaires for residents and visitors, including health professionals have been used to obtain their views about the home, and there are regular staff and residents’ meetings. The information is now being summarised for inclusion in the home’s newsletter. The standard relating to residents’ finances does not apply as the home does not deal with residents’ monies. Residents’ spends are invoiced to relatives and the home pays for chiropody services. Satisfactory health and safety measures are in place at the home. Servicing and safety certificates are current, with the exception of the gas safety certificate, a copy of which should be forwarded when available. Requirements arising from the last fire safety inspection have been addressed. The Old Vicarage DS0000061207.V270941.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 X 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 DS0000061207.V270941.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Old Vicarage DS0000061207.V270941.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 DS0000061207.V270941.R01.S.doc Version 5.0 Page 20 - 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!